Hurst, Jackie
Hurst, Jackie is an sole proprietor health care provider with primary practice located at 10020 Mahler Pl , Oklahoma City OK 73120-3312. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hurst, Jackie can be contacted via phone (405) 206-2077.Contact Information
Primary practice address
10020 Mahler Pl
Oklahoma City OK 73120-3312
Phone: (405) 206-2077
Fax: (405) 607-0452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2892 | Oklahoma |
Profile Details
| NPI number | 1306936315 |
|---|---|
| LBN Legal business name | Hurst, Jackie |
| Credentials | M ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306936315 | NPPES |
| Oklahoma | MEDICAID | 2000880030 A |
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