Boatman, Russell

Boatman, Russell is an individual health care provider with primary practice located at 904 Nw 4Th St , Stigler OK 74462-1653. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Boatman, Russell can be contacted via phone (918) 967-8223.

Contact Information

Primary practice address
904 Nw 4Th St Stigler OK 74462-1653
Phone: (918) 967-8223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1386391357
LBN Legal business name Boatman, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2022
Last updated Mar 9th, 2022 - 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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