Callison, Jacob Leon

Callison, Jacob Leon is an individual health care provider with primary practice located at 123 N Main St , Broken Arrow OK 74012-3938. 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. Callison, Jacob Leon can be contacted via phone (918) 994-5140.

Contact Information

Primary practice address
123 N Main St Broken Arrow OK 74012-3938
Phone: (918) 994-5140
Fax: (918) 994-5150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1844 Oklahoma

Profile Details

NPI number 1487885877
LBN Legal business name Callison, Jacob Leon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2009
Last updated Apr 10th, 2023 - about 2 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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