Taylor, Charles Wade

Taylor, Charles Wade is an individual health care provider with primary practice located at 12697 E 51St St , Tulsa OK 74146-6236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Taylor, Charles Wade can be contacted via phone (918) 505-3200.

Contact Information

Primary practice address
12697 E 51St St Tulsa OK 74146-6236
Phone: (918) 505-3200
Fax: (918) 505-3253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 14470 Oklahoma
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 15268 Arizona

Profile Details

NPI number 1003859679
LBN Legal business name Taylor, Charles Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003859679 NPPES
Oklahoma Other 331740YV6N MEDICARE PTAN

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