Blevins, Caleb Christopher

Blevins, Caleb Christopher is an sole proprietor health care provider with primary practice located at 1212 Reynolds Ave , Poteau OK 74953-4724. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Blevins, Caleb Christopher can be contacted via phone (918) 649-0172.

Contact Information

Primary practice address
1212 Reynolds Ave Poteau OK 74953-4724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1780227454
LBN Legal business name Blevins, Caleb Christopher
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2019
Last updated Nov 21st, 2019 - about 6 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 1780227454 NPPES
Oklahoma MEDICAID 000000000

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