White, Jason Kent

White, Jason Kent is an sole proprietor health care provider with primary practice located at 807 S Pine St , Stillwater OK 74074-4350. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. White, Jason Kent can be contacted via phone (405) 614-2846.

Contact Information

Primary practice address
807 S Pine St Stillwater OK 74074-4350
Phone: (405) 614-2846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1004 Oklahoma

Profile Details

NPI number 1144240383
LBN Legal business name White, Jason Kent
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 17th, 2018 - about 7 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 1144240383 NPPES
Oklahoma MEDICAID 200090180A

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