Noel, Jenny

Noel, Jenny is an individual health care provider with primary practice located at 1322 W Main St , Antlers OK 74523-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Noel, Jenny can be contacted via phone (580) 298-5062.

Contact Information

Primary practice address
1322 W Main St Antlers OK 74523-2016
Phone: (580) 298-5062
Fax: (580) 298-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1316213853
LBN Legal business name Noel, Jenny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316213853 NPPES
Oklahoma MEDICAID 200111200A

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