Buckaloo, Misty D
Buckaloo, Misty D is an individual health care provider with primary practice located at 2502 Crossroads Dr Suite B, Ardmore OK 73401-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Buckaloo, Misty D can be contacted via phone (580) 226-4800.Contact Information
Primary practice address
2502 Crossroads Dr Suite B
Ardmore OK 73401-2503
Phone: (580) 226-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1235430182 |
|---|---|
| LBN Legal business name | Buckaloo, Misty D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2010 |
| Last updated | Nov 9th, 2010 - about 14 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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