Sebastian Pc | |
4100 W Memorial Suite 221 Oklahoma City OK 73120 | |
(405) 755-5801 | |
(405) 755-5949 |
Full Name | Sebastian Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4100 W Memorial, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Veronique Sebastian (PRESIDENT) |
Authorized Official Contact | 4057555801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sebastian Pc 12800 Castlerock Ct Oklahoma City OK 73142-5127 Ph: (405) 751-2605 | Sebastian Pc 4100 W Memorial Suite 221 Oklahoma City OK 73120 Ph: (405) 755-5801 |
NPI Number | 1982856548 |
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Provider Enumeration Date | 10/15/2008 |
Last Update Date | 10/15/2008 |
Medicare PECOS PAC ID | 9436208790 |
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Medicare Enrollment ID | O20090518000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982856548 | NPI | - | NPPES |
800522305 | Other | OK | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 20879 (Oklahoma) | Primary |
Provider Name | Veronique Sebastian |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740371129 PECOS PAC ID: 7618026964 Enrollment ID: I20090518000174 |
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