Calvert, Jon Channing
Calvert, Jon Channing is an individual health care provider with primary practice located at 7912 E 31St Ct Ste 300, Tulsa OK 74145-1315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Calvert, Jon Channing can be contacted via phone (918) 743-8200.Contact Information
Primary practice address
7912 E 31St Ct Ste 300
Tulsa OK 74145-1315
Phone: (918) 743-8200
Fax: (918) 743-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 13932 | Oklahoma |
Profile Details
| NPI number | 1033181920 |
|---|---|
| LBN Legal business name | Calvert, Jon Channing |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Apr 19th, 2012 - about 14 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 | 1033181920 | NPPES |
| Oklahoma | MEDICAID | 100790630D |
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