Mack, Jordan M

Mack, Jordan M is an individual health care provider with primary practice located at Rr 1 Box 131 , Soper OK 74759-9632. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Mack, Jordan M can be contacted via phone (580) 317-5209.

Contact Information

Primary practice address
Rr 1 Box 131 Soper OK 74759-9632
Phone: (580) 317-5209
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1356589873
LBN Legal business name Mack, Jordan M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Mar 31st, 2009 - about 15 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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