Jackson, Dezjuan Vonte
Jackson, Dezjuan Vonte is an sole proprietor health care provider with primary practice located at 10461 N May Ave , Oklahoma City OK 73120-2610. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Jackson, Dezjuan Vonte can be contacted via phone (405) 543-6314.Contact Information
Primary practice address
10461 N May Ave
Oklahoma City OK 73120-2610
Phone: (405) 543-6314
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 314007 | Oklahoma |
Profile Details
NPI number | 1679073183 |
---|---|
LBN Legal business name | Jackson, Dezjuan Vonte |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 20th, 2018 |
Last updated | Feb 20th, 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.
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