Mcdougle, Jackie D

Mcdougle, Jackie D is an individual health care provider with primary practice located at 215 N G St , Lakeview OR 97630-1417. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mcdougle, Jackie D can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
215 N G St Lakeview OR 97630-1417
Phone: (541) 947-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1073093167
LBN Legal business name Mcdougle, Jackie D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2018
Last updated Dec 17th, 2020 - about 4 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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