Carrico, Jeremy Cass
Carrico, Jeremy Cass is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carrico, Jeremy Cass can be contacted via phone (918) 749-8765.Contact Information
Primary practice address
10901 E 48Th St
Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 24318 | Oklahoma |
Profile Details
| NPI number | 1922028828 |
|---|---|
| LBN Legal business name | Carrico, Jeremy Cass |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 5th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922028828 | NPPES |
| Oklahoma | MEDICAID | 200054370A |
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