Healthcare Provider Details

I. General information

NPI: 1699661702
Provider Name (Legal Business Name): JANEY DEUTSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W 17TH ST
TULSA OK
74107-1886
US

IV. Provider business mailing address

11681 S 266TH EAST AVE
COWETA OK
74429-4887
US

V. Phone/Fax

Practice location:
  • Phone: 918-561-1555
  • Fax:
Mailing address:
  • Phone: 918-237-1545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: