Buchanan, Marcus Cleo

Buchanan, Marcus Cleo is an sole proprietor health care provider with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. He recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Other Service Providers / Peer Specialist. Agencies / Case Management is his primary health care specialty. Buchanan, Marcus Cleo can be contacted via phone (918) 456-0641.

Contact Information

Primary practice address
1400 E Downing St Tahlequah OK 74464-3324
Phone: (918) 456-0641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1447990296
LBN Legal business name Buchanan, Marcus Cleo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2022
Last updated Mar 30th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447990296 NPPES
Oklahoma MEDICAID 000000000

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