Mckinnis, Jackie Lee

Mckinnis, Jackie Lee is an sole proprietor health care provider with primary practice located at 2101 Nw Ferris Ave , Lawton OK 73507. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mckinnis, Jackie Lee can be contacted via phone (580) 357-1581.

Contact Information

Primary practice address
2101 Nw Ferris Ave Lawton OK 73507
Phone: (580) 357-1581
Fax: (580) 357-4123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3118 Oklahoma

Profile Details

NPI number 1326066291
LBN Legal business name Mckinnis, Jackie Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Mar 14th, 2016 - about 10 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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