Brown, Tina Marie

Brown, Tina Marie is an individual health care provider with primary practice located at 407 W South Ave , Ponca City OK 74601-6133. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Brown, Tina Marie can be contacted via phone (580) 749-5056.

Contact Information

Primary practice address
407 W South Ave Ponca City OK 74601-6133
Phone: (580) 749-5056
Fax: (580) 215-5756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1376143883
LBN Legal business name Brown, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated May 19th, 2023 - 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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