Cavett, Charles L.

Cavett, Charles L. is an sole proprietor health care provider with primary practice located at 9901 S Western Ave Suite A, Oklahoma City OK 73139-2951. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Cavett, Charles L. can be contacted via phone (405) 412-7189.

Contact Information

Primary practice address
9901 S Western Ave Suite A Oklahoma City OK 73139-2951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X LPC#4095 Oklahoma

Profile Details

NPI number 1396985875
LBN Legal business name Cavett, Charles L.
Credentials LPC, AAMFT,PHD, PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2009
Last updated Apr 2nd, 2014 - about 10 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 1396985875 NPPES
Oklahoma MEDICAID 200412200A

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