Titsworth, Jeremiah Ray

Titsworth, Jeremiah Ray is an sole proprietor health care provider with primary practice located at 502 W Randolph Ave , Enid OK 73701-3828. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Titsworth, Jeremiah Ray can be contacted via phone (580) 234-8000.

Contact Information

Primary practice address
502 W Randolph Ave Enid OK 73701-3828
Phone: (580) 234-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 09036

Profile Details

NPI number 1205161064
LBN Legal business name Titsworth, Jeremiah Ray
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2009
Last updated Oct 13th, 2009 - about 17 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

Popular Providers