Hill, Jan Russell
Hill, Jan Russell is an individual health care provider with primary practice located at 1715 N 5Th St , Ponca City OK 74601-2763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hill, Jan Russell can be contacted via phone (580) 762-9292.Contact Information
Primary practice address
1715 N 5Th St
Ponca City OK 74601-2763
Phone: (580) 762-9292
Fax: (580) 762-1660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19188 | Oklahoma |
Profile Details
| NPI number | 1871561696 |
|---|---|
| LBN Legal business name | Hill, Jan Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 15th, 2010 - about 14 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 | 1871561696 | NPPES |
| Oklahoma | Other | 5350485 | AETNA |
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