Jeff E Northcutt Md Pllc

LBN: Jeff E Northcutt Md Pllc
Jeff E Northcutt Md Pllc is an health care organization with primary practice located at 1908 N 14Th St Ste 206 , Ponca City OK 74601-2039. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jeff E Northcutt Md Pllc can be contacted via phone (580) 762-8045, or through Northcutt, Jeff E via phone (580) 762-8045.

Contact Information

Primary practice address
1908 N 14Th St Ste 206 Ponca City OK 74601-2039
Phone: (580) 762-8045
Fax: (580) 762-2798
Website:
Map and Directions
Authorized official contact:
Name: Northcutt, Jeff E Doctor of Medicine (MD)
Phone: (580) 762-8045

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22394 Oklahoma

Profile Details

NPI number 1154475887
LBN Legal business name Jeff E Northcutt Md Pllc
DBA Doing business as
Authorized official Northcutt, Jeff E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154475887 NPPES
Oklahoma MEDICAID 200058550A

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