Degroat, Jessica Michelle

Degroat, Jessica Michelle is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Degroat, Jessica Michelle can be contacted via phone (580) 379-6650.

Contact Information

Primary practice address
205 S Park Ln Altus OK 73521-5755
Phone: (580) 379-6650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 94-10426 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41596 Oklahoma

Profile Details

NPI number 1528685401
LBN Legal business name Degroat, Jessica Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Aug 3rd, 2023 - 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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