Axton, Jon C

Axton, Jon C is an individual health care provider with primary practice located at 5300 N Grand Blvd Suite 200, Oklahoma City OK 73112-5647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Axton, Jon C can be contacted via phone (405) 942-8545.

Contact Information

Primary practice address
5300 N Grand Blvd Suite 200 Oklahoma City OK 73112-5647
Fax: (405) 947-6854
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 10228 Oklahoma

Profile Details

NPI number 1265596969
LBN Legal business name Axton, Jon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265596969 NPPES
Oklahoma MEDICAID 100110970A

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