Jennings, George M
Jennings, George M is an sole proprietor health care provider with primary practice located at 211 N Grand Ave , Okmulgee OK 74447-4036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jennings, George M can be contacted via phone (918) 284-6958.Contact Information
Primary practice address
211 N Grand Ave
Okmulgee OK 74447-4036
Phone: (918) 284-6958
Fax: (918) 759-9989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2050 | Oklahoma |
Profile Details
| NPI number | 1144392804 |
|---|---|
| LBN Legal business name | Jennings, George M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Sep 23rd, 2013 - about 13 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 | 1144392804 | NPPES |
| Oklahoma | MEDICAID | 100112190A |
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