Brown, Jack Howard
Brown, Jack Howard is an sole proprietor health care provider with primary practice located at 200 N Main St Ste D , Sand Springs OK 74063-7650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Jack Howard can be contacted via phone (918) 246-3456.Contact Information
Primary practice address
200 N Main St Ste D
Sand Springs OK 74063-7650
Phone: (918) 246-3456
Fax: (918) 246-3457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16933 | Oklahoma |
Profile Details
| NPI number | 1982699096 |
|---|---|
| LBN Legal business name | Brown, Jack Howard |
| Credentials | MD, DPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 16th, 2020 - 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 | 1982699096 | NPPES |
| Oklahoma | MEDICAID | 200196490A |
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