Mack, Jess

Mack, Jess is an sole proprietor health care provider with primary practice located at Rr 1 Box 7180 , Antlers OK 74523-9743. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mack, Jess can be contacted via phone (580) 380-1557.

Contact Information

Primary practice address
Rr 1 Box 7180 Antlers OK 74523-9743
Phone: (580) 380-1557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1669801932
LBN Legal business name Mack, Jess
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 11 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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