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Contact Information

JENNIFER BURGETT, DPH
105 W HIGHWAY 16
BRISTOW, OK74010-3390
 Phone: 918-367-5515
 Fax: 918-367-5039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JENNIFER BURGETT · (Female)

NPI Number 1861092132
Status Active
Credentials DPH
Entity Individual
Enumeration date 10/27/2020
Last updated 10/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 12647
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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