Caldwell, Jennifer

Caldwell, Jennifer is an individual health care provider with primary practice located at 7641 Mercury Rd , Tinker Afb OK 73145-8707. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Caldwell, Jennifer can be contacted via phone (405) 739-3990.

Contact Information

Primary practice address
7641 Mercury Rd Tinker Afb OK 73145-8707
Phone: (405) 739-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1912974007
LBN Legal business name Caldwell, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 13th, 2009 - about 15 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 1912974007 NPPES
Oklahoma Other 1710I1002X INDEPENDENT DUTY CORPSMAN

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