Ingram, Jacklyn M

Ingram, Jacklyn M is an sole proprietor health care provider with primary practice located at 1132 N Pennsylvania Ave , Oklahoma City OK 73107-5639. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ingram, Jacklyn M can be contacted via phone (405) 557-1655.

Contact Information

Primary practice address
1132 N Pennsylvania Ave Oklahoma City OK 73107-5639
Fax: (405) 525-0677
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1689097933
LBN Legal business name Ingram, Jacklyn M
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2014
Last updated Feb 28th, 2014 - 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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