National Provider Identifier Database

OKLAHOMA STATE UNIVERSITY
Student Health


Contact Information

OKLAHOMA STATE UNIVERSITY
1202 W FARM RD
STILLWATER, OK74078-2036
Phone: 405-744-7665
Fax: 405-744-2136
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for OKLAHOMA STATE UNIVERSITY

NPI Number 1598827776
Legal business name
LBN
OKLAHOMA STATE UNIVERSITY
Authorized official JACK HENNEHA - (ASSOCIATE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/14/2006
Last updated 01/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 8-3015
  • OK Medicaid: 100757330F
  • OK Other: 736017987 FEDERAL TAX ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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