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Contact Information

CHAZ WHITE ANESTHESIA SERVICES PC
11912 S VINE ST
JENKS, OK74037-4339
 Phone: 918-995-7518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CHAZ WHITE ANESTHESIA SERVICES PC

NPI # 1366701492
LBN Legal business name CHAZ WHITE ANESTHESIA SERVICES PC
Authorized official CHAZ WHITE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2012
Last updated 08/08/2012 - About 14 years ago
Identifiers
OK License # R84680
OK Medicaid 200307060A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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