Tan, Jeremy F

Tan, Jeremy F is an individual health care provider with primary practice located at 608 Stanton L Young Blvd , Oklahoma City OK 73104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Tan, Jeremy F can be contacted via phone (405) 271-6060.

Contact Information

Primary practice address
608 Stanton L Young Blvd Oklahoma City OK 73104
Phone: (405) 271-6060
Fax: (405) 271-3013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29985 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT201060 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 29985 Oklahoma

Profile Details

NPI number 1124387626
LBN Legal business name Tan, Jeremy F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2012
Last updated Jul 15th, 2020 - about 5 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 1124387626 NPPES
Oklahoma MEDICAID 200504570B

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