Jackson, Dezjuan Vonte

Jackson, Dezjuan Vonte is an sole proprietor health care provider with primary practice located at 10461 N May Ave , Oklahoma City OK 73120-2610. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Jackson, Dezjuan Vonte can be contacted via phone (405) 543-6314.

Contact Information

Primary practice address
10461 N May Ave Oklahoma City OK 73120-2610
Phone: (405) 543-6314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 314007 Oklahoma

Profile Details

NPI number 1679073183
LBN Legal business name Jackson, Dezjuan Vonte
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2018
Last updated Feb 20th, 2018 - about 7 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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