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
Fax: (918) 664-2521
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043205453 NPPES
Oklahoma Other 721545605-001 BCBS
Oklahoma Other 4055199 BCBS
Oklahoma MEDICAID 100105450A BCBS

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