Long, Jeannie

Long, Jeannie is an sole proprietor health care provider with primary practice located at 1095 Nickerson St , Waynoka OK 73860-1252. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Long, Jeannie can be contacted via phone (580) 824-0674.

Contact Information

Primary practice address
1095 Nickerson St Waynoka OK 73860-1252
Phone: (580) 824-0674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1164904710
LBN Legal business name Long, Jeannie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 7 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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