Brace, Marvin Ray
Brace, Marvin Ray is an individual health care provider with primary practice located at 217 W 5Th Ave Ste 7 , Stillwater OK 74074-4056. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brace, Marvin Ray can be contacted via phone (405) 743-1968.Contact Information
Primary practice address
217 W 5Th Ave Ste 7
Stillwater OK 74074-4056
Phone: (405) 743-1968
Fax: (405) 743-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 161 | Oklahoma |
Profile Details
| NPI number | 1912141813 |
|---|---|
| LBN Legal business name | Brace, Marvin Ray |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Apr 23rd, 2009 - about 15 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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