Johnson, Jay Kevin

Johnson, Jay Kevin is an individual health care provider with primary practice located at 802 S Jackson Ave Ste 420 , Tulsa OK 74127-9059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Johnson, Jay Kevin can be contacted via phone (918) 743-2882.

Contact Information

Primary practice address
802 S Jackson Ave Ste 420 Tulsa OK 74127-9059
Phone: (918) 743-2882
Fax: (918) 745-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2533 Oklahoma

Profile Details

NPI number 1043224264
LBN Legal business name Johnson, Jay Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 15th, 2021 - about 4 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 1043224264 NPPES
Oklahoma Other 369701YM2Y MEDICARE
Oklahoma MEDICAID 100137280B MEDICARE

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