Bryen, Jeffry Michael

Bryen, Jeffry Michael is an individual health care provider with primary practice located at 1701 S Douglas Blvd , Midwest City OK 73130-6221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bryen, Jeffry Michael can be contacted via phone (405) 302-8999.

Contact Information

Primary practice address
1701 S Douglas Blvd Midwest City OK 73130-6221
Phone: (405) 302-8999
Fax: (405) 733-9360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 699 Oklahoma

Profile Details

NPI number 1265491237
LBN Legal business name Bryen, Jeffry Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Apr 5th, 2024 - about last year

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 1265491237 NPPES
Oklahoma MEDICAID 100113870A

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