Tyner, Rosemarie

Tyner, Rosemarie is an individual health care provider with primary practice located at 3015 E Skelly Dr Ste 103 , Tulsa OK 74105-6344. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Tyner, Rosemarie can be contacted via phone (918) 712-0859.

Contact Information

Primary practice address
3015 E Skelly Dr Ste 103 Tulsa OK 74105-6344
Fax: (918) 388-9708
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oklahoma

Profile Details

NPI number 1497267314
LBN Legal business name Tyner, Rosemarie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - about 4 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 1497267314 NPPES
Oklahoma MEDICAID 200323940

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