Jacobs, Keith Eric
Jacobs, Keith Eric is an sole proprietor health care provider with primary practice located at 2617 General Pershing Blvd , Oklahoma City OK 73107-6437. 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. Jacobs, Keith Eric can be contacted via phone (405) 858-1700.Contact Information
Primary practice address
2617 General Pershing Blvd
Oklahoma City OK 73107-6437
Phone: (405) 858-1700
Fax: (405) 858-1770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oklahoma |
Profile Details
| NPI number | 1992160295 |
|---|---|
| LBN Legal business name | Jacobs, Keith Eric |
| Credentials | BA, CMII |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Mar 17th, 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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