Russell, Jacob

Russell, Jacob is an individual health care provider with primary practice located at 320 12Th Ave Ne , Norman OK 73071-5238. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Russell, Jacob can be contacted via phone (405) 573-3842.

Contact Information

Primary practice address
320 12Th Ave Ne Norman OK 73071-5238
Phone: (405) 573-3842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1942540398
LBN Legal business name Russell, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 13 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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