Burchard, Jamie Michele

Burchard, Jamie Michele is an individual health care provider with primary practice located at 11129 Sw 38Th Cir , Mustang OK 73064-9269. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Burchard, Jamie Michele can be contacted via phone (405) 920-0293.

Contact Information

Primary practice address
11129 Sw 38Th Cir Mustang OK 73064-9269
Phone: (405) 920-0293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1295293561
LBN Legal business name Burchard, Jamie Michele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 6 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 1295293561 NPPES
Oklahoma MEDICAID 024812983

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