Thomas, Jacob Charles

Thomas, Jacob Charles is an individual health care provider with primary practice located at 19629 Ne 23Rd St , Harrah OK 73045-9305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thomas, Jacob Charles can be contacted via phone (405) 454-0010.

Contact Information

Primary practice address
19629 Ne 23Rd St Harrah OK 73045-9305
Phone: (405) 454-0010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5890 Oklahoma

Profile Details

NPI number 1912504333
LBN Legal business name Thomas, Jacob Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912504333 NPPES
Oklahoma Other 5890 PT LICENSE

Popular Providers