JACKIE CHAVEY, Psychiatric/Mental Health ENID, OK

Contact Information

JACKIE CHAVEY

702 N GRAND ST
ENID, OK 73701-3221

Phone: 580-234-3791
Fax: 580-237-7711
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Psychiatric/Mental Health	163WP0808X

Indicates primary specialty

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NPI Profile & details for JACKIE CHAVEY · (Female)

NPI #	`1649494477`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/12/2007
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	OK License # R0062614
Hospital affiliation(s)	Not Available

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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