Childe, Jessica Rey
Childe, Jessica Rey is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Childe, Jessica Rey can be contacted via phone (918) 392-1400.Contact Information
Primary practice address
4802 S 109Th East Ave
Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 5910 | Oklahoma |
Profile Details
| NPI number | 1568784957 |
|---|---|
| LBN Legal business name | Childe, Jessica Rey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2010 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568784957 | NPPES |
| Oklahoma | MEDICAID | 200649470A |
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