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Contact Information

CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC
6585 S YALE AVE
STE 200
TULSA, OK74136-8384
 Phone: 918-481-2767
 Fax: 918-481-7639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CENTRAL STATES ORTHOPEDIC SPECIALISTS INC · (Female)

NPI # 1922081959
Status Active
Credentials
Entity Individual
Enumeration date 11/23/2005
Last updated 10/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 18573
  • OK Medicaid 100031720A
  • Other 3724437 NCPDP PROVIDER IDENTIFICATION NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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