Smith, Jack

Smith, Jack is an individual health care provider with primary practice located at 933 Sw 3Rd St , Moore OK 73160-2261. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Jack can be contacted via phone (405) 822-1424.

Contact Information

Primary practice address
933 Sw 3Rd St Moore OK 73160-2261
Phone: (405) 822-1424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC07653 Oklahoma

Profile Details

NPI number 1669885687
LBN Legal business name Smith, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2014
Last updated Mar 2nd, 2023 - about 3 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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