Cody, Jimmy D

Cody, Jimmy D is an individual health care provider with primary practice located at 744 W 9Th St , Tulsa OK 74127-9020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Cody, Jimmy D can be contacted via phone (918) 587-2561.

Contact Information

Primary practice address
744 W 9Th St Tulsa OK 74127-9020
Phone: (918) 587-2561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2338 Oklahoma

Profile Details

NPI number 1982692034
LBN Legal business name Cody, Jimmy D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 23rd, 2009 - about 15 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 1982692034 NPPES
Oklahoma MEDICAID 100112460A
Oklahoma MEDICAID 100228470B

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