Wakefield, Brent Alan
Wakefield, Brent Alan is an individual health care provider with primary practice located at 615 E Main St , Jenks OK 74037-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wakefield, Brent Alan can be contacted via phone (918) 299-8080.Contact Information
Primary practice address
615 E Main St
Jenks OK 74037-4138
Phone: (918) 299-8080
Fax: (918) 298-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22988 | Oklahoma |
Profile Details
| NPI number | 1447334206 |
|---|---|
| LBN Legal business name | Wakefield, Brent Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Mar 24th, 2008 - about 17 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 | 1447334206 | NPPES |
| Oklahoma | Other | 441911615001 | BLUECROSS BLUESHIELD |
| Oklahoma | Other | 7837678 | BLUECROSS BLUESHIELD |
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