Conley, Jerry

Conley, Jerry is an individual health care provider with primary practice located at 118 E Main St , Holdenville OK 74848-3208. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Conley, Jerry can be contacted via phone (405) 379-5381.

Contact Information

Primary practice address
118 E Main St Holdenville OK 74848-3208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1114761780
LBN Legal business name Conley, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about last year

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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