JONATHAN MICHAEL PEASTER NPI 1467913368

NPI Information

Jonathan Michael Peaster is a student in an organized health care education training program in Tulsa, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jonathan Michael Peaster NPI is 1467913368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4639 S 189TH EAST AVE
TULSA, OK
ZIP 74134-245
Phone: (918) 800-9948

The NPI 1467913368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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