Ross, Jeremy Michael

Ross, Jeremy Michael is an sole proprietor health care provider with primary practice located at 329 S 38Th St , Muskogee OK 74401-4945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ross, Jeremy Michael can be contacted via phone (918) 687-9999.

Contact Information

Primary practice address
329 S 38Th St Muskogee OK 74401-4945
Fax: (918) 686-7078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31424 Oklahoma

Profile Details

NPI number 1063890697
LBN Legal business name Ross, Jeremy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2015
Last updated Jun 8th, 2026 - about 5 months 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 1063890697 NPPES
Oklahoma MEDICAID 200595230

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