Bannet, Jacob

Bannet, Jacob is an individual health care provider with primary practice located at 909 Alameda St , Norman OK 73071-5229. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bannet, Jacob can be contacted via phone (405) 573-3955.

Contact Information

Primary practice address
909 Alameda St Norman OK 73071-5229
Fax: (405) 573-3966
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18892 Oklahoma
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 18892 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 18892 Oklahoma

Profile Details

NPI number 1790873180
LBN Legal business name Bannet, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790873180 NPPES
Oklahoma MEDICAID 100035150A

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