Crain, Jerry C

Crain, Jerry C is an sole proprietor health care provider with primary practice located at 1205 W Main St , Collinsville OK 74021-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crain, Jerry C can be contacted via phone (918) 371-5885.

Contact Information

Primary practice address
1205 W Main St Collinsville OK 74021-3114
Phone: (918) 371-5885
Fax: (918) 371-0584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1867 Oklahoma

Profile Details

NPI number 1578544086
LBN Legal business name Crain, Jerry C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Apr 23rd, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578544086 NPPES
Oklahoma MEDICAID 200305570A
Oklahoma Other 080114764
Oklahoma Other 731479816001
Oklahoma Other 731479816

Popular Providers