Exon, Walter Jay
Exon, Walter Jay is an individual health care provider with primary practice located at 1245 S Utica Ave , Tulsa OK 74104-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Exon, Walter Jay can be contacted via phone (918) 560-3832.Contact Information
Primary practice address
1245 S Utica Ave
Tulsa OK 74104-4214
Phone: (918) 560-3832
Fax: (918) 583-0423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10770 | Oklahoma |
Profile Details
| NPI number | 1558312173 |
|---|---|
| LBN Legal business name | Exon, Walter Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | May 4th, 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 | 1558312173 | NPPES |
| Oklahoma | MEDICAID | 100094000A |
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