Castleberry, Jerry James

Castleberry, Jerry James is an individual health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Castleberry, Jerry James can be contacted via phone (918) 579-1000.

Contact Information

Primary practice address
1120 S Utica Ave Tulsa OK 74104-4012
Phone: (918) 579-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L8642 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1927 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4481 Oklahoma

Profile Details

NPI number 1417919762
LBN Legal business name Castleberry, Jerry James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 24th, 2007 - about 17 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 1417919762 NPPES
Texas Other 8P9112 BLUE SHIELD

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