Parker, Jacob Joseph
Parker, Jacob Joseph is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Parker, Jacob Joseph can be contacted via phone (405) 456-5353.Contact Information
Primary practice address
921 Ne 13Th St
Oklahoma City OK 73104-5007
Phone: (405) 456-5353
Fax: (405) 456-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G8697 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25453 | Oklahoma |
Profile Details
| NPI number | 1093788770 |
|---|---|
| LBN Legal business name | Parker, Jacob Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2006 |
| Last updated | Jun 12th, 2019 - about 6 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 | 1093788770 | NPPES |
| Missouri | Other | P00403538 | MEDICARE RAILROAD |
| Missouri | MEDICAID | 204448104 | MEDICARE RAILROAD |
| Missouri | MEDICAID | 163960001 | MEDICARE RAILROAD |
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