Calvert, Jon Channing

Calvert, Jon Channing is an individual health care provider with primary practice located at 7912 E 31St Ct Ste 300, Tulsa OK 74145-1315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Calvert, Jon Channing can be contacted via phone (918) 743-8200.

Contact Information

Primary practice address
7912 E 31St Ct Ste 300 Tulsa OK 74145-1315
Fax: (918) 743-8609
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13932 Oklahoma

Profile Details

NPI number 1033181920
LBN Legal business name Calvert, Jon Channing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Apr 19th, 2012 - about 12 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 1033181920 NPPES
Oklahoma MEDICAID 100790630D

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