Jefferis, Jared W

Jefferis, Jared W is an individual health care provider with primary practice located at 1500 N 6Th St , Ponca City OK 74601-2827. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jefferis, Jared W can be contacted via phone (580) 762-7561.

Contact Information

Primary practice address
1500 N 6Th St Ponca City OK 74601-2827
Phone: (580) 762-7561
Fax: (580) 762-2576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1992062293
LBN Legal business name Jefferis, Jared W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 14 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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