Jackson, Ernest

Jackson, Ernest is an individual health care provider with primary practice located at 3621 N Kelley Ave Ste 100 , Oklahoma City OK 73111-4520. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Ernest can be contacted via phone (405) 524-5525.

Contact Information

Primary practice address
3621 N Kelley Ave Ste 100 Oklahoma City OK 73111-4520
Phone: (405) 524-5525
Fax: (405) 524-5528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1801060231
LBN Legal business name Jackson, Ernest
Credentials B.S. M.DIV
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 18 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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