Massengill, Jamie Shane

Massengill, Jamie Shane is an sole proprietor health care provider with primary practice located at 7555 Winterwood Dr , Edmond OK 73025-1861. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Massengill, Jamie Shane can be contacted via phone (405) 990-5967.

Contact Information

Primary practice address
7555 Winterwood Dr Edmond OK 73025-1861
Phone: (405) 990-5967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1320 Oklahoma

Profile Details

NPI number 1952404238
LBN Legal business name Massengill, Jamie Shane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Feb 9th, 2020 - about 6 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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