Polwort, Jeanice L

Polwort, Jeanice L is an individual health care provider with primary practice located at 2112 E Maple Ave , Enid OK 73701-4612. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Polwort, Jeanice L can be contacted via phone (580) 747-2289.

Contact Information

Primary practice address
2112 E Maple Ave Enid OK 73701-4612
Phone: (580) 747-2289
Fax: (580) 234-3553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4412 Oklahoma

Profile Details

NPI number 1619133790
LBN Legal business name Polwort, Jeanice L
Credentials M.ED, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Sep 20th, 2010 - 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.

Request for update

Popular Providers