Jeffcoats, Jimmy

Jeffcoats, Jimmy is an sole proprietor health care provider with primary practice located at 1401 8Th Ave Nw , Ardmore OK 73401-2428. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular is his primary health care specialty. Jeffcoats, Jimmy can be contacted via phone (580) 504-2430.

Contact Information

Primary practice address
1401 8Th Ave Nw Ardmore OK 73401-2428
Phone: (580) 504-2430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X 32685 Maryland
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X Oklahoma
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X Oklahoma

Profile Details

NPI number 1265986673
LBN Legal business name Jeffcoats, Jimmy
Credentials Registered Diagnostic Cardiac Sonographer (RDCS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2016
Last updated Aug 15th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265986673 NPPES
Oklahoma MEDICAID 20041980A

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