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Contact Information

BLUE SKY ANESTHESIA PLLC
1 E CLARK BASS BLVD
MCALESTER, OK74501-4209
 Phone: 660-826-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BLUE SKY ANESTHESIA PLLC · (Female)

NPI Number 1700166592
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2011
Last updated 02/25/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200389740A
  • OK Other 616341700 US DEPT OF LABOR
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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