Friend, Jonathan D
Friend, Jonathan D is an individual health care provider with primary practice located at 4500 S Garnett Rd Ste 919, Tulsa OK 74146-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Friend, Jonathan D can be contacted via phone (918) 728-6194.Contact Information
Primary practice address
4500 S Garnett Rd Ste 919
Tulsa OK 74146-5229
Phone: (918) 728-6194
Fax: (918) 664-2521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 12707 | Oklahoma |
Profile Details
| NPI number | 1043205453 |
|---|---|
| LBN Legal business name | Friend, Jonathan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043205453 | NPPES |
| Oklahoma | Other | 721545605-001 | BCBS |
| Oklahoma | Other | 4055199 | BCBS |
| Oklahoma | MEDICAID | 100105450A | BCBS |
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