Nick, Jerry Bob

Nick, Jerry Bob is an individual health care provider with primary practice located at 1015 E 6Th St , Okmulgee OK 74447-4705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nick, Jerry Bob can be contacted via phone (918) 758-0022.

Contact Information

Primary practice address
1015 E 6Th St Okmulgee OK 74447-4705
Phone: (918) 758-0022
Fax: (918) 756-2046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4701 Oklahoma

Profile Details

NPI number 1558475392
LBN Legal business name Nick, Jerry Bob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 19 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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