O'Banion, Jacquelyn A
O'Banion, Jacquelyn A is an individual health care provider with primary practice located at 608 Stanton L Young Blvd , Oklahoma City OK 73104-5014. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. O'Banion, Jacquelyn A can be contacted via phone (405) 271-6060.Contact Information
Primary practice address
608 Stanton L Young Blvd
Oklahoma City OK 73104-5014
Phone: (405) 271-6060
Fax: (405) 271-1926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 27920 | Oklahoma |
Profile Details
| NPI number | 1003040262 |
|---|---|
| LBN Legal business name | O'Banion, Jacquelyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2009 |
| Last updated | Feb 13th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003040262 | NPPES |
| Oklahoma | MEDICAID | 200306430B |
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