Ishcomer, Mary Jacque
Ishcomer, Mary Jacque is an sole proprietor health care provider with primary practice located at 2000 E Lincoln Rd , Idabel OK 74745-7353. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ishcomer, Mary Jacque can be contacted via phone (580) 286-6639.Contact Information
Primary practice address
2000 E Lincoln Rd
Idabel OK 74745-7353
Phone: (580) 286-6639
Fax: (580) 286-5206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1225152259 |
|---|---|
| LBN Legal business name | Ishcomer, Mary Jacque |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| 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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