Tullis, Charles A

Tullis, Charles A is an individual health care provider with primary practice located at 601 E 13Th St Suite G, Grove OK 74344-2989. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Tullis, Charles A can be contacted via phone (918) 786-3391.

Contact Information

Primary practice address
601 E 13Th St Suite G Grove OK 74344-2989
Phone: (918) 786-3391
Fax: (918) 786-7264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1730335852
LBN Legal business name Tullis, Charles A
Credentials CFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Aug 8th, 2008 - about 17 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 1730335852 NPPES
Other 110121 CERTIFICATION #

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