Crowder, Jacob Thomas
Crowder, Jacob Thomas is an individual health care provider with primary practice located at 21 S Eight Tribes Trail Suite B , Miami OK 74354-5327. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Crowder, Jacob Thomas can be contacted via phone (918) 387-8720.Contact Information
Primary practice address
21 S Eight Tribes Trail Suite B
Miami OK 74354-5327
Phone: (918) 387-8720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7583 | Oklahoma |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1104366244 |
|---|---|
| LBN Legal business name | Crowder, Jacob Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2017 |
| Last updated | Jan 20th, 2022 - 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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