Individual
DR. JACQUELINE SCHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
4431 E 31ST ST, TULSA, OK 74135-2130
(918) 600-2525
Mailing address
4431 E 31ST ST, TULSA, OK 74135-2130
(918) 600-2525
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
278
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100645110B
—
OK
01
—
244519901
MEDICARE PTAN
OK
Enumeration date
03/10/2006
Last updated
07/21/2022
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