Wotherspoon, Jaquelyn Beth

Wotherspoon, Jaquelyn Beth is an individual health care provider with primary practice located at 1336 N Harrison Ave , Shawnee OK 74801-5206. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wotherspoon, Jaquelyn Beth can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
1336 N Harrison Ave Shawnee OK 74801-5206
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1033463088
LBN Legal business name Wotherspoon, Jaquelyn Beth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Apr 4th, 2022 - about 3 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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