Bracken-Cole, Maddisen
Bracken-Cole, Maddisen is an individual health care provider with primary practice located at 109 S Harrill Ave , Wagoner OK 74467-5317. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bracken-Cole, Maddisen can be contacted via phone (918) 485-0242.Contact Information
Primary practice address
109 S Harrill Ave
Wagoner OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1215664248 |
---|---|
LBN Legal business name | Bracken-Cole, Maddisen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2022 |
Last updated | Aug 1st, 2022 - about 3 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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