Brown, Jordan Edward
Brown, Jordan Edward is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Brown, Jordan Edward can be contacted via phone (918) 502-1900.Contact Information
Primary practice address
6161 S Yale Ave
Tulsa OK 74136-1902
Phone: (918) 502-1900
Fax: (918) 494-6303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 4621 | Oklahoma |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4621 | Oklahoma |
Profile Details
NPI number | 1942464029 |
---|---|
LBN Legal business name | Brown, Jordan Edward |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2008 |
Last updated | Feb 19th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942464029 | NPPES |
Oklahoma | MEDICAID | 200229080A |
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