Brown, Tamesha Shanette
Brown, Tamesha Shanette is an sole proprietor health care provider with primary practice located at 7117 E Reno Ave , Midwest City OK 73110-4444. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Brown, Tamesha Shanette can be contacted via phone (405) 610-5242.Contact Information
Primary practice address
7117 E Reno Ave
Midwest City OK 73110-4444
Phone: (405) 610-5242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1710659776 |
|---|---|
| LBN Legal business name | Brown, Tamesha Shanette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2021 |
| Last updated | Sep 29th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710659776 | NPPES |
| Oklahoma | MEDICAID | 1134671951 |
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