Healthcare Provider Details

I. General information

NPI: 1235472960
Provider Name (Legal Business Name): GERRY NJOKU BHRS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 GREENBRIAR PL
OKLAHOMA CITY OK
73159-7640
US

IV. Provider business mailing address

8221 N ROCKWELL AVE 1102
OKLAHOMA CITY OK
73132-4254
US

V. Phone/Fax

Practice location:
  • Phone: 405-735-3683
  • Fax: 405-735-3524
Mailing address:
  • Phone: 405-889-2031
  • Fax: 405-735-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: