Horacek, Jamie

Horacek, Jamie is an sole proprietor health care provider with primary practice located at 29 Ketch Creek Cir , Lawton OK 73507-9030. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Horacek, Jamie can be contacted via phone (580) 442-3905.

Contact Information

Primary practice address
29 Ketch Creek Cir Lawton OK 73507-9030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2779 Oklahoma

Profile Details

NPI number 1013453935
LBN Legal business name Horacek, Jamie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 8 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 1013453935 NPPES
Oklahoma Other 124Q00000X HYGIENE

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