Jia, Gregory Y
Jia, Gregory Y is an individual health care provider with primary practice located at 4200 S Douglas Ave Ste 200 , Oklahoma City OK 73109-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jia, Gregory Y can be contacted via phone (405) 636-7499.Contact Information
Primary practice address
4200 S Douglas Ave Ste 200
Oklahoma City OK 73109-3215
Phone: (405) 636-7499
Fax: (405) 636-7809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 19082 | Oklahoma |
Profile Details
NPI number | 1922084128 |
---|---|
LBN Legal business name | Jia, Gregory Y |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Jan 11th, 2021 - about 3 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 | 1922084128 | NPPES |
Oklahoma | MEDICAID | 100138540A |
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