Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 24675 | OK |
N | 111NI0900X | Internist | 24675 | OK |
N | 207RC0200X | Critical Care Medicine | 53266-20 | WI |
Y | 207RP1001X | Pulmonary Disease | 53266-20 | WI |
NPI | 1043352198 |
---|---|
Provider Name | Dr. Jennifer Beth Bierach |
First Address | Tulsa, OK 74104-4214 |
Second Address | Tulsa, OK 74104-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 02/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200176290A | (05) | OK |