Jenkins, Alfred D

Jenkins, Alfred D is an individual health care provider with primary practice located at 12697 E 51St St , Tulsa OK 74146-6236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Jenkins, Alfred D can be contacted via phone (918) 505-3200.

Contact Information

Primary practice address
12697 E 51St St Tulsa OK 74146-6236
Phone: (918) 505-3200
Fax: (918) 505-3225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X L4470 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 058970 Georgia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 32593 Oklahoma

Profile Details

NPI number 1487686200
LBN Legal business name Jenkins, Alfred D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487686200 NPPES
Oklahoma MEDICAID 200674540A
Oklahoma Other 8DB701
Oklahoma MEDICAID 288841401
Oklahoma MEDICAID 288841402
Oklahoma Other P01096120

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