Bullock, Jordan

Bullock, Jordan is an individual health care provider with primary practice located at 1308 Cradduck Rd , Ada OK 74820-8442. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bullock, Jordan can be contacted via phone (405) 207-4006.

Contact Information

Primary practice address
1308 Cradduck Rd Ada OK 74820-8442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396187316
LBN Legal business name Bullock, Jordan
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2013
Last updated Jul 6th, 2015 - about 11 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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