Walter, Jeffrey Scott

Walter, Jeffrey Scott is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114-7408. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Walter, Jeffrey Scott can be contacted via phone (405) 230-9000.

Contact Information

Primary practice address
9600 Broadway Ext Oklahoma City OK 73114-7408
Phone: (405) 230-9000
Fax: (405) 230-9175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1029 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1029 Oklahoma

Profile Details

NPI number 1184622144
LBN Legal business name Walter, Jeffrey Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 9th, 2019 - 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 1184622144 NPPES
Oklahoma MEDICAID 100193800A
Oklahoma Other 970016143

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