Jackson, Goldie

Jackson, Goldie is an individual health care provider with primary practice located at 1012 5Th Ave , Warner OK 74469-6900. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Goldie can be contacted via phone (918) 463-5171.

Contact Information

Primary practice address
1012 5Th Ave Warner OK 74469-6900
Phone: (918) 463-5171
Fax: (918) 463-2542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1548633241
LBN Legal business name Jackson, Goldie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Nov 4th, 2015 - 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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