Griffin, Jason

Griffin, Jason is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Griffin, Jason can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4802 S 109Th East Ave Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 32031 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X BP1-0037530 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Q3001 Texas

Profile Details

NPI number 1720306277
LBN Legal business name Griffin, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2010
Last updated Feb 8th, 2017 - about 9 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 1720306277 NPPES
Oklahoma MEDICAID 200631140A

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