Jones, Johnny H

Jones, Johnny H is an individual health care provider with primary practice located at 5600 N Portland Ave , Oklahoma City OK 73112-2023. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jones, Johnny H can be contacted via phone (405) 943-4413.

Contact Information

Primary practice address
5600 N Portland Ave Oklahoma City OK 73112-2023
Fax: (405) 942-0115
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OK8885 Oklahoma

Profile Details

NPI number 1558459057
LBN Legal business name Jones, Johnny H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 5th, 2010 - about 16 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 1558459057 NPPES
Oklahoma Other 730784364 TAX ID
Oklahoma MEDICAID 100122080A TAX ID

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