Healthcare Provider Details

I. General information

NPI: 1821029471
Provider Name (Legal Business Name): SARAH-ANNE HENNING SCHUMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 E 3RD ST
TULSA OK
74104-1831
US

IV. Provider business mailing address

2321 E 3RD ST
TULSA OK
74104-1831
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-0641
  • Fax:
Mailing address:
  • Phone: 918-622-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number28564
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: