Brannon, Derek Blake

Brannon, Derek Blake is an sole proprietor health care provider with primary practice located at 14400 Bogert Pkwy , Oklahoma City OK 73134-2652. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brannon, Derek Blake can be contacted via phone (918) 270-3525.

Contact Information

Primary practice address
14400 Bogert Pkwy Oklahoma City OK 73134-2652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568211142
LBN Legal business name Brannon, Derek Blake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2024
Last updated May 15th, 2024 - about last year

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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