Ervin, John William

Ervin, John William is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ervin, John William can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
4444 E 41St St Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33711 Oklahoma

Profile Details

NPI number 1629061213
LBN Legal business name Ervin, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 29th, 2018 - about 8 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 1629061213 NPPES
Oregon MEDICAID 500694558
Oregon MEDICAID 878690060A

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