Dejarnett, Clayton David
Dejarnett, Clayton David is an individual health care provider with primary practice located at 10512 North 110Th East Avenue , Owasso OK 74055-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dejarnett, Clayton David can be contacted via phone (918) 376-8900.Contact Information
Primary practice address
10512 North 110Th East Avenue
Owasso OK 74055-6638
Phone: (918) 376-8900
Fax: (918) 272-7475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1945 | Oklahoma |
Profile Details
| NPI number | 1891723896 |
|---|---|
| LBN Legal business name | Dejarnett, Clayton David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Apr 6th, 2009 - about 16 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 | 1891723896 | NPPES |
| Oklahoma | MEDICAID | 100123160B |
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