Wilson, Jennifer

Wilson, Jennifer is an sole proprietor health care provider with primary practice located at 2345 Southwest Blvd , Tulsa OK 74107-2705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Wilson, Jennifer can be contacted via phone (918) 561-1131.

Contact Information

Primary practice address
2345 Southwest Blvd Tulsa OK 74107-2705
Phone: (918) 561-1131
Fax: (918) 561-1140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5681 Oklahoma
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5681 Oklahoma

Profile Details

NPI number 1932464500
LBN Legal business name Wilson, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2012
Last updated Jan 19th, 2023 - about 2 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 1932464500 NPPES
Oklahoma MEDICAID 200589190A
Oklahoma Other 413203YM2Y

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