Provider Demographics
NPI:1841207461
Name:WINSTON, JON A (AUD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:A
Last Name:WINSTON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 SW 44TH ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3614
Mailing Address - Country:US
Mailing Address - Phone:405-631-0045
Mailing Address - Fax:405-631-0059
Practice Address - Street 1:1024 SW 44TH ST
Practice Address - Street 2:SUITE 800
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3614
Practice Address - Country:US
Practice Address - Phone:405-631-0045
Practice Address - Fax:405-631-0059
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK43231H00000X, 237600000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist