Billy, Nathan

Billy, Nathan is an sole proprietor health care provider with primary practice located at 16445 Midway Dr , Poteau OK 74953-7414. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Billy, Nathan can be contacted via phone (918) 649-7584.

Contact Information

Primary practice address
16445 Midway Dr Poteau OK 74953-7414
Phone: (918) 649-7584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1821348301
LBN Legal business name Billy, Nathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2012
Last updated Sep 4th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821348301 NPPES
Oklahoma MEDICAID 200226970A

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