Whitten, Jackie Glen
Whitten, Jackie Glen is an individual health care provider with primary practice located at 5700 Arnold St Bldg 5801, Tinker Afb OK 73145-8105. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Whitten, Jackie Glen can be contacted via phone (405) 736-2820.Contact Information
Primary practice address
5700 Arnold St Bldg 5801
Tinker Afb OK 73145-8105
Phone: (405) 736-2820
Fax: (405) 736-2677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1811131980 |
|---|---|
| LBN Legal business name | Whitten, Jackie Glen |
| Credentials | IDMT-PARAMEDIC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2009 |
| Last updated | Apr 21st, 2009 - 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.
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