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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

APO, AE09331
 Phone: 318-833-1331
Indicates primary specialty

NPI Profile & details for MICKEY D JETT · (Male)

NPI Number 1669681029
Credentials MDIVL, MS
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
License # AAMFT101247
License # NBCC77094
TX License # AAPC10958
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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