Calvin, Manuel Jesus

Calvin, Manuel Jesus is an individual health care provider with primary practice located at 6160 S Yale Ave , Tulsa OK 74136-1930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Calvin, Manuel Jesus can be contacted via phone (918) 497-3140.

Contact Information

Primary practice address
6160 S Yale Ave Tulsa OK 74136-1930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 16762 Oklahoma

Profile Details

NPI number 1396744678
LBN Legal business name Calvin, Manuel Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 23rd, 2017 - about 8 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 1396744678 NPPES
Oklahoma MEDICAID 100220740A

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