Davis, Jeffrey

Davis, Jeffrey is an sole proprietor health care provider with primary practice located at 11740 E 21St St , Tulsa OK 74129-1820. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Davis, Jeffrey can be contacted via phone (918) 437-9495.

Contact Information

Primary practice address
11740 E 21St St Tulsa OK 74129-1820
Phone: (918) 437-9495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1265779615
LBN Legal business name Davis, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Mar 24th, 2015 - about 11 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 1265779615 NPPES
Oklahoma MEDICAID 000000000

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