Daniels, Jewell L

Daniels, Jewell L is an individual health care provider with primary practice located at 4200 W Okmulgee St , Muskogee OK 74401-4646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Daniels, Jewell L can be contacted via phone (918) 683-5025.

Contact Information

Primary practice address
4200 W Okmulgee St Muskogee OK 74401-4646
Fax: (918) 913-9703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23095 Oklahoma

Profile Details

NPI number 1720049364
LBN Legal business name Daniels, Jewell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 22nd, 2013 - about 11 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 1720049364 NPPES
Oklahoma MEDICAID 200039920A

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