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Contact Information

AMY C BACCHUS, MD
6585 S YALE AVE
SUITE 1200
TULSA, OK74136-8384
 Phone: 918-494-9288
 Fax: 918-494-9191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMY C BACCHUS · (Female)

NPI # 1285634154
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 01/14/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 24281
  • OK Medicaid 200054560A
  • OK Other 450778109 TRICARE
Hospital affiliation(s)
  • NORMAN REGIONAL HEALTH SYSTEM - (Acute Care)
    901 NORTH PORTER
    NORMAN, OK 73070
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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