Garland, Jackie
Garland, Jackie is an individual health care provider with primary practice located at 16400 N May Ave , Edmond OK 73013-8971. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Garland, Jackie can be contacted via phone (405) 471-6800.Contact Information
Primary practice address
16400 N May Ave
Edmond OK 73013-8971
Phone: (405) 471-6800
Fax: (405) 471-6811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15237 | Oklahoma |
Profile Details
| NPI number | 1164417044 |
|---|---|
| LBN Legal business name | Garland, Jackie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Oct 1st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164417044 | NPPES |
| Oklahoma | MEDICAID | 100131050A |
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