Clark, Jordan Beverly Paige

Clark, Jordan Beverly Paige is an individual health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Jordan Beverly Paige can be contacted via phone (918) 664-4224.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 664-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1689352247
LBN Legal business name Clark, Jordan Beverly Paige
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about 2 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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