Cozby, Jeremiah Mathew

Cozby, Jeremiah Mathew is an sole proprietor health care provider with primary practice located at 27440 Potts Mtn Rd , Heavener OK 74937-3698. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Cozby, Jeremiah Mathew can be contacted via phone (918) 413-2678.

Contact Information

Primary practice address
27440 Potts Mtn Rd Heavener OK 74937-3698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X GAAA-NYOA-BIMU Oklahoma

Profile Details

NPI number 1609339753
LBN Legal business name Cozby, Jeremiah Mathew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2019
Last updated Apr 7th, 2019 - about 6 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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