Provider Demographics
NPI:1295128858
Name:TALMON, JOCHEN
Entity type:Individual
Prefix:
First Name:JOCHEN
Middle Name:
Last Name:TALMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 E 47TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5112
Mailing Address - Country:US
Mailing Address - Phone:918-808-4199
Mailing Address - Fax:
Practice Address - Street 1:2438 E 47TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5112
Practice Address - Country:US
Practice Address - Phone:918-808-4199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education