Jerome, Mandy
Jerome, Mandy is an individual health care provider with primary practice located at 69 Arrowhead Loop , Canadian OK 74425-5012. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jerome, Mandy can be contacted via phone (918) 339-5800.Contact Information
Primary practice address
69 Arrowhead Loop
Canadian OK 74425-5012
Phone: (918) 339-5800
Fax: (918) 339-5833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1821524109 |
|---|---|
| LBN Legal business name | Jerome, Mandy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2017 |
| Last updated | May 5th, 2017 - 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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