Dancer, Jack T
Dancer, Jack T is an individual health care provider with primary practice located at 1301 W 6Th Ave Suite 105, Stillwater OK 74074-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dancer, Jack T can be contacted via phone (405) 533-1074.Contact Information
Primary practice address
1301 W 6Th Ave Suite 105
Stillwater OK 74074-4375
Phone: (405) 533-1074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7845 | Oklahoma |
Profile Details
| NPI number | 1235212630 |
|---|---|
| LBN Legal business name | Dancer, Jack T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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