Colclasure, Linda K

Colclasure, Linda K is an sole proprietor health care provider with primary practice located at 2200 Se Washington Blvd , Bartlesville OK 74006-7135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Colclasure, Linda K can be contacted via phone (918) 335-1111.

Contact Information

Primary practice address
2200 Se Washington Blvd Bartlesville OK 74006-7135
Phone: (918) 335-1111
Fax: (918) 335-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1154689206
LBN Legal business name Colclasure, Linda K
Credentials MSW, BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2012
Last updated Apr 26th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154689206 NPPES
Oklahoma MEDICAID 100732190

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