Jackson, Michalla
Jackson, Michalla is an individual health care provider with primary practice located at 602 Colony Dr , Sand Springs OK 74063-7428. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jackson, Michalla can be contacted via phone (417) 818-4821.Contact Information
Primary practice address
602 Colony Dr
Sand Springs OK 74063-7428
Phone: (417) 818-4821
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | Oklahoma |
Profile Details
NPI number | 1174279061 |
---|---|
LBN Legal business name | Jackson, Michalla |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2022 |
Last updated | Mar 1st, 2022 - about 2 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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