Bryant, Justin Dale
Bryant, Justin Dale is an individual health care provider with primary practice located at 1011 S Muskogee Ave , Tahlequah OK 74464-4733. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bryant, Justin Dale can be contacted via phone (918) 525-6035.Contact Information
Primary practice address
1011 S Muskogee Ave
Tahlequah OK 74464-4733
Phone: (918) 525-6035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1306695499 |
|---|---|
| LBN Legal business name | Bryant, Justin Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2024 |
| Last updated | May 13th, 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.
Popular Providers
-
Loy, Sarah Rose
1323 W Keetoowah St , Tahlequah OK 74464-3462 -
Crow, Carla
16414 W 760 Rd , Tahlequah OK 74464-1675 -
Lewman, Chad
118 W Keetoowah St , Tahlequah OK 74464-3820 -
Green, Aelicia Fran
110 Leoser St , Tahlequah OK 74464-7032 -
Churches, Katelynn Jordan
118 W Keetoowah St , Tahlequah OK 74464-3820 -
Cheater, Brittany
16414 W 760 Rd , Tahlequah OK 74464-1675 -
Williams, Eddie
16414 W 760 Rd , Tahlequah OK 74464-1675 -
Brehon, Sonja Lynn
20176 Stick Ross Mountain Rd , Tahlequah OK 74464-7375