Friend, Jack

Friend, Jack is an individual health care provider with primary practice located at 3308 W Okmulgee St , Muskogee OK 74401-5069. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Friend, Jack can be contacted via phone (918) 683-7731.

Contact Information

Primary practice address
3308 W Okmulgee St Muskogee OK 74401-5069
Phone: (918) 683-7731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1826 Oklahoma

Profile Details

NPI number 1609109420
LBN Legal business name Friend, Jack
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Sep 11th, 2009 - about 17 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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