Jackson, Jacquline
Jackson, Jacquline is an individual health care provider with primary practice located at 1127 N Kickapoo Ave , Shawnee OK 74801-4845. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Jacquline can be contacted via phone (405) 214-0116.Contact Information
Primary practice address
1127 N Kickapoo Ave
Shawnee OK 74801-4845
Phone: (405) 214-0116
Fax: (877) 334-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5594 | Oklahoma |
Profile Details
| NPI number | 1689943094 |
|---|---|
| LBN Legal business name | Jackson, Jacquline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2011 |
| Last updated | Mar 1st, 2016 - 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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