Provider Demographics
NPI:1881352888
Name:FERREIRA, JOSEPH NICHOLAS
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NICHOLAS
Last Name:FERREIRA
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 1:2107 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6548
Mailing Address - Country:US
Mailing Address - Phone:405-446-9138
Mailing Address - Fax:
Practice Address - Street 1:2107 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6548
Practice Address - Country:US
Practice Address - Phone:405-446-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist