Jackson-Smith, Jill L
Jackson-Smith, Jill L is an individual health care provider with primary practice located at 5711 E 71St St Suite 115, Tulsa OK 74136-6628. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Jackson-Smith, Jill L can be contacted via phone (918) 494-2902.Contact Information
Primary practice address
5711 E 71St St Suite 115
Tulsa OK 74136-6628
Phone: (918) 494-2902
Fax: (918) 494-2905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 187 | Oklahoma |
Profile Details
| NPI number | 1417061516 |
|---|---|
| LBN Legal business name | Jackson-Smith, Jill L |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 9th, 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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