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
Fax: (918) 494-2905
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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