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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1568784957 NPPES
Oklahoma MEDICAID 200649470A

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