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Contact Information

TIMOTHY PETTINGELL, MD
4735 E 91ST ST
SUITE 100
TULSA, OK74137-2807
 Phone: 918-252-7952
 Fax: 918-252-9218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for TIMOTHY PETTINGELL · (Male)

NPI # 1376546531
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 05/29/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 20806
  • OK Medicaid 100251620A
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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