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Contact Information

JENNIFER SMALLWOOD
10821 WEST HICKORY AVENUE
PEGGS SCHOOL
PEGGS, OK74452
 Phone: 918-260-0199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JENNIFER SMALLWOOD · (Female)

NPI Number 1952761926
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2016
Last updated 03/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK Medicaid 047434244
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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