Cannon, Nicole Marie

Cannon, Nicole Marie is an sole proprietor health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Cannon, Nicole Marie can be contacted via phone (918) 664-4224.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 664-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1124313788
LBN Legal business name Cannon, Nicole Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2011
Last updated Jun 12th, 2011 - about 13 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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