Geren, Jesse Dewayne
Geren, Jesse Dewayne is an individual health care provider with primary practice located at 4318 W Okmulgee St , Muskogee OK 74401-4648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Geren, Jesse Dewayne can be contacted via phone (918) 686-0471.Contact Information
Primary practice address
4318 W Okmulgee St
Muskogee OK 74401-4648
Phone: (918) 686-0471
Fax: (918) 686-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2144 | Oklahoma |
Profile Details
| NPI number | 1679578397 |
|---|---|
| LBN Legal business name | Geren, Jesse Dewayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Nov 20th, 2014 - about 10 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 | 1679578397 | NPPES |
| Oklahoma | MEDICAID | 100087920A |
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