Bruce, Ethan

Bruce, Ethan is an sole proprietor health care provider with primary practice located at 4908 S Sheridan Rd , Tulsa OK 74145-5712. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bruce, Ethan can be contacted via phone (918) 984-9153.

Contact Information

Primary practice address
4908 S Sheridan Rd Tulsa OK 74145-5712
Phone: (918) 984-9153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760099121
LBN Legal business name Bruce, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2020
Last updated Sep 22nd, 2021 - about 4 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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