Freeze, Travis Jay

Freeze, Travis Jay is an sole proprietor health care provider with primary practice located at 1 Choctaw Way , Talihina OK 74571-2022. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Freeze, Travis Jay can be contacted via phone (918) 567-7000.

Contact Information

Primary practice address
1 Choctaw Way Talihina OK 74571-2022
Phone: (918) 567-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13609 Oklahoma

Profile Details

NPI number 1396897625
LBN Legal business name Freeze, Travis Jay
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
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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