Jaboin, Jerry Jeff
Jaboin, Jerry Jeff is an individual health care provider with primary practice located at 800 Ne 10Th St # Okccl100 , Oklahoma City OK 73104-5418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Jaboin, Jerry Jeff can be contacted via phone (405) 271-5641.Contact Information
Primary practice address
800 Ne 10Th St # Okccl100
Oklahoma City OK 73104-5418
Phone: (405) 271-5641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD174329 | Oregon |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2010015937 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 38749 | Oklahoma |
Profile Details
| NPI number | 1578610382 |
|---|---|
| LBN Legal business name | Jaboin, Jerry Jeff |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Mar 30th, 2023 - about 3 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 | 1578610382 | NPPES |
| Missouri | MEDICAID | 1578610382 | |
| Missouri | Other | 431560263 | |
| Missouri | Other | P01128079 | |
| Missouri | MEDICAID | 195048001 |
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