Black, Jeffrey Lane

Black, Jeffrey Lane is an individual health care provider with primary practice located at 1717 S Utica Ave Ste A , Tulsa OK 74104-5346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Black, Jeffrey Lane can be contacted via phone (918) 748-7557.

Contact Information

Primary practice address
1717 S Utica Ave Ste A Tulsa OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 748-7514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16468 Oklahoma

Profile Details

NPI number 1700957990
LBN Legal business name Black, Jeffrey Lane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Apr 13th, 2010 - about 14 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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