Sutton, Jason Nathaniel

Sutton, Jason Nathaniel is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Sutton, Jason Nathaniel can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659720860
LBN Legal business name Sutton, Jason Nathaniel
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 20th, 2016 - about 10 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 1659720860 NPPES
Oklahoma MEDICAID 1659720860

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