Culver, Johnathan
Culver, Johnathan is an sole proprietor health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has only one registered license in Ambulatory Health Care Facilities / Recovery Care, which is considered as his primary health care specialty. Culver, Johnathan can be contacted via phone (918) 256-6476.Contact Information
Primary practice address
405 E Excelsior Ave
Vinita OK 74301-4226
Phone: (918) 256-6476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Recovery Care | 261QR0800X | Oklahoma |
Profile Details
| NPI number | 1245983881 |
|---|---|
| LBN Legal business name | Culver, Johnathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2022 |
| Last updated | Feb 3rd, 2022 - about 3 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 | 1245983881 | NPPES |
| Oklahoma | Other | 9JIC | 9JIC |
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