Slagle, Jacob Austin

Slagle, Jacob Austin is an sole proprietor health care provider with primary practice located at 807 Sw F Ave , Lawton OK 73501-4506. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Slagle, Jacob Austin can be contacted via phone (580) 591-1912.

Contact Information

Primary practice address
807 Sw F Ave Lawton OK 73501-4506
Phone: (580) 591-1912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X Oklahoma
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Oklahoma

Profile Details

NPI number 1942574793
LBN Legal business name Slagle, Jacob Austin
Credentials MSBS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2012
Last updated Jun 19th, 2013 - about 12 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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