Jennings, Charles Ray

Jennings, Charles Ray is an individual health care provider with primary practice located at 206 E Blue Starr Dr , Claremore OK 74017-4223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jennings, Charles Ray can be contacted via phone (918) 341-8100.

Contact Information

Primary practice address
206 E Blue Starr Dr Claremore OK 74017-4223
Phone: (918) 341-8100
Fax: (918) 341-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1549 Oklahoma

Profile Details

NPI number 1255496154
LBN Legal business name Jennings, Charles Ray
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Feb 7th, 2023 - about last year

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 1255496154 NPPES
Oklahoma MEDICAID 200113160A

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