Evensen, Jana Mccullough

Evensen, Jana Mccullough is an individual health care provider with primary practice located at 1301 E Downing St , Tahlequah OK 74464-3350. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Evensen, Jana Mccullough can be contacted via phone (918) 456-1000.

Contact Information

Primary practice address
1301 E Downing St Tahlequah OK 74464-3350
Phone: (918) 456-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12811 Oklahoma

Profile Details

NPI number 1245223643
LBN Legal business name Evensen, Jana Mccullough
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 19 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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