Jeffy, Elon Russell

Jeffy, Elon Russell is an individual health care provider with primary practice located at 1811 S Baltimore Ave Ste 202 , Tulsa OK 74119-5215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Jeffy, Elon Russell can be contacted via phone (918) 644-0141.

Contact Information

Primary practice address
1811 S Baltimore Ave Ste 202 Tulsa OK 74119-5215
Fax: (918) 392-4741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 218356 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 218356 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 26284 Oklahoma

Profile Details

NPI number 1093934531
LBN Legal business name Jeffy, Elon Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Feb 28th, 2018 - about 7 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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