Jack Juan Beller in Oklahoma City - Sports Medicine

Jack Juan Beller - NPI 1437157344

Jack Juan Beller is a Sports Medicine in Oklahoma City, Oklahoma. Jack Juan Beller practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jack Juan Beller is 1437157344. The last update date is 2012-09-07.

Jack Juan Beller's current location address is 3301 Nw 50th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059470911. The mailing address for Jack Juan Beller is 3301 Nw 50th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Juan Beller
Address 3301 Nw 50th St, Oklahoma City, Oklahoma
Phone Number 4059470911
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1437157344
Provider Enumeration Date 2005-07-13
Last Updated Date 2012-09-07

Provider Mailing Address Detail

Address 3301 Nw 50th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731125627
Phone Number 4059470911
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 9412
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100110450A OK --
P00777384 OK MCR RAILROAD

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FAQs about Jack Juan Beller

What is the unique 10-digit identification code assigned to Jack Juan Beller by the Centers for Medicare & Medicaid Services?

The Jack Juan Beller has been issued the NPI (National Provider Identifier) 1437157344, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jack Juan Beller is physically located?

The Jack Juan Beller is physically situated at the following address: 3301 Nw 50Th St, Oklahoma City, OK, 731125627.

What is Jack Juan Beller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jack Juan Beller is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437157344 to Jack Juan Beller?

The Centers for Medicare & Medicaid Services originally issued the 1437157344 to Jack Juan Beller on 2005-07-13.

When was the information regarding Jack Juan Beller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jack Juan Beller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-07.

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