Bigeagle, Blake Montana

Bigeagle, Blake Montana is an sole proprietor health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bigeagle, Blake Montana can be contacted via phone (918) 559-9957.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 559-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1073226817
LBN Legal business name Bigeagle, Blake Montana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2022
Last updated Dec 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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