Cheri Ennis is a Medical in Tulsa, Oklahoma. Cheri Ennis practices all healthcare services and medical treatments related to Medical. The NPI Number for Cheri Ennis is 1578584025. The last update date is 2019-06-21.
Cheri Ennis's current location address is 1145 S Utica Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9185795749 and fax number 9185795762. The mailing address for Cheri Ennis is 1145 S Utica Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cheri Ennis |
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Address | 1145 S Utica Ave, Tulsa, Oklahoma |
Phone Number | 9185795749 |
Fax Number | 9185795762 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1578584025 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2019-06-21 |
Provider Mailing Address Detail
Address | 1145 S Utica Ave |
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City | Tulsa |
State | Oklahoma (OK) |
Post Code | 741044041 |
Phone Number | 9185795749 |
Fax Number | 9185795762 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA883 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Cheri Ennis's 1578584025?
The Cheri Ennis's NPI (National Provider Identifier) Number is 1578584025. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Cheri Ennis's physical address?
The Cheri Ennis is physically located at 1145 S Utica Ave, in the city of Tulsa, OK, with the postal code 741044041.
What is Cheri Ennis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cheri Ennis is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578584025 to Cheri Ennis?
The Centers for Medicare & Medicaid Services originally issued the 1578584025 to Cheri Ennis on 2006-07-21.
As of what date were the Cheri Ennis's details last updated?
The information pertaining to the Cheri Ennis, including its address, specialty, and other details, was most recently updated on 2019-06-21.