Weidner, Vicky Lynn
Weidner, Vicky Lynn is an sole proprietor health care provider with primary practice located at 6767 S Yale Ave Ste B Physician Services Of Physical Therapy Of Tulsa, Tulsa OK 74136-3302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Weidner, Vicky Lynn can be contacted via phone (918) 494-3000.Contact Information
Primary practice address
6767 S Yale Ave Ste B Physician Services Of Physical Therapy Of Tulsa
Tulsa OK 74136-3302
Phone: (918) 494-3000
Fax: (918) 494-0003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M-16685 | Idaho |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12846203-1205 | Utah |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 113030 | Montana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 15349 | Oklahoma |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15349 | Oklahoma |
Profile Details
| NPI number | 1770540221 |
|---|---|
| LBN Legal business name | Weidner, Vicky Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Oct 25th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770540221 | NPPES |
| Oklahoma | Other | 930016273 | RR MEDICARE |
| Oklahoma | MEDICAID | 100135210A | RR MEDICARE |
| Oklahoma | Other | P00159520 | RR MEDICARE |
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