Jackson, Karis Lavon

Jackson, Karis Lavon is an sole proprietor health care provider with primary practice located at 218 S 182Nd East Ave , Tulsa OK 74108-2133. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Jackson, Karis Lavon can be contacted via phone (918) 691-8579.

Contact Information

Primary practice address
218 S 182Nd East Ave Tulsa OK 74108-2133
Phone: (918) 691-8579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 1194001412 Oklahoma

Profile Details

NPI number 1073887808
LBN Legal business name Jackson, Karis Lavon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2012
Last updated Feb 24th, 2012 - about 12 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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