Jordan, Jackie D
Jordan, Jackie D is an sole proprietor health care provider with primary practice located at 3700 N Classen Blvd Suite C-55, Oklahoma City OK 73118-2872. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jordan, Jackie D can be contacted via phone (405) 605-0881.Contact Information
Primary practice address
3700 N Classen Blvd Suite C-55
Oklahoma City OK 73118-2872
Phone: (405) 605-0881
Fax: (405) 605-0879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 490 | Oklahoma |
Profile Details
| NPI number | 1114263001 |
|---|---|
| LBN Legal business name | Jordan, Jackie D |
| Credentials | MA, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2012 |
| Last updated | Dec 20th, 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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