Wildman, Jessica Ann

Wildman, Jessica Ann is an individual health care provider with primary practice located at 1222 10Th St Ste 211 , Woodward OK 73801-3156. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wildman, Jessica Ann can be contacted via phone (580) 256-8615.

Contact Information

Primary practice address
1222 10Th St Ste 211 Woodward OK 73801-3156
Fax: (580) 256-5643
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1427625706
LBN Legal business name Wildman, Jessica Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - 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.

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