Burnett-Green, Jayme Elizabeth

Burnett-Green, Jayme Elizabeth is an sole proprietor health care provider with primary practice located at 207 N Taylor Ave , Wynnewood OK 73098-4626. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Burnett-Green, Jayme Elizabeth can be contacted via phone (405) 207-0132.

Contact Information

Primary practice address
207 N Taylor Ave Wynnewood OK 73098-4626
Phone: (405) 207-0132
Fax: (405) 251-5017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1033550520
LBN Legal business name Burnett-Green, Jayme Elizabeth
Credentials CBHCM II, CPRSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2013
Last updated Jun 23rd, 2015 - about 11 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 1033550520 NPPES
Oklahoma MEDICAID 200507080A

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