Bivens, Jeffrey Don

Bivens, Jeffrey Don is an individual health care provider with primary practice located at 225 Ne 97Th St Suite 600, Oklahoma City OK 73114-6302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bivens, Jeffrey Don can be contacted via phone (405) 841-7875.

Contact Information

Primary practice address
225 Ne 97Th St Suite 600 Oklahoma City OK 73114-6302
Phone: (405) 841-7875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA807 Oklahoma

Profile Details

NPI number 1861565533
LBN Legal business name Bivens, Jeffrey Don
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Sep 26th, 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 1861565533 NPPES
Oklahoma MEDICAID 100156320A

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