Healthcare Provider Details

I. General information

NPI: 1477166882
Provider Name (Legal Business Name): EVERYONE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 08/25/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 E 61ST ST STE 300
TULSA OK
74136-1231
US

IV. Provider business mailing address

2431 E 61ST ST STE 300
TULSA OK
74136-1231
US

V. Phone/Fax

Practice location:
  • Phone: 918-516-7303
  • Fax: 844-722-9329
Mailing address:
  • Phone: 918-516-7303
  • Fax: 844-722-9329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN DOMINIC PINTO
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 918-516-7303