Schaefer, Jeanne M
Schaefer, Jeanne M is an sole proprietor health care provider with primary practice located at 523 S Santa Fe Ave Ste B , Edmond OK 73003-6291. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Schaefer, Jeanne M can be contacted via phone (405) 509-6777.Contact Information
Primary practice address
523 S Santa Fe Ave Ste B
Edmond OK 73003-6291
Phone: (405) 509-6777
Fax: (405) 509-6778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18963 | Oklahoma |
Profile Details
| NPI number | 1114992740 |
|---|---|
| LBN Legal business name | Schaefer, Jeanne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114992740 | NPPES |
| Oklahoma | MEDICAID | 100205560B |
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