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
Phone: (918) 270-3525
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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