Billy Jack Premo in Midwest City - Nurse Anesthetist, Certified Registered
Billy Jack Premo - NPI 1003839911
Billy Jack Premo is a Nurse Anesthetist, Certified Registered in Midwest City, Oklahoma. Billy Jack Premo practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Billy Jack Premo is 1003839911. The last update date is 2015-03-12.
Billy Jack Premo's current location address is Po Box 10979, Midwest City, Oklahoma. You can contact this provider via phone number 4053607576. The mailing address for Billy Jack Premo is Po Box 10979, Midwest City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy Jack Premo |
|---|---|
| Address | Po Box 10979, Midwest City, Oklahoma |
| Phone Number | 4053607576 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1003839911 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2015-03-12 |
Provider Mailing Address Detail
| Address | Po Box 10979 |
|---|---|
| City | Midwest City |
| State | Oklahoma (OK) |
| Post Code | 731401979 |
| Phone Number | 4053607576 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R0025846 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430001523 | OK | MEDICARE PIN | |
| 731189454001 | OK | BCBS | |
| 100781950A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Billy Jack Premo by the Centers for Medicare & Medicaid Services?
The Billy Jack Premo has been assigned the NPI (National Provider Identifier) 1003839911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Billy Jack Premo's facilities are situated?
The facilities of Billy Jack Premo are physically located at the following address: Po Box 10979, Midwest City, OK, 731401979.
What is Billy Jack Premo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Billy Jack Premo is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
When was the Billy Jack Premo's 1003839911 issued?
The Billy Jack Premo's 1003839911 was issued on 2006-07-25.
As of what date was the information regarding Billy Jack Premo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Billy Jack Premo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-12.