Birdwell, Allegra Riley Desiree

Birdwell, Allegra Riley Desiree is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Birdwell, Allegra Riley Desiree can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1104523844
LBN Legal business name Birdwell, Allegra Riley Desiree
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about 2 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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