Cooper, Micala

Cooper, Micala is an individual health care provider with primary practice located at 1510 E Shawnee Cir , Tahlequah OK 74464-2528. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Micala can be contacted via phone (918) 772-4004.

Contact Information

Primary practice address
1510 E Shawnee Cir Tahlequah OK 74464-2528
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6707-P Oklahoma

Profile Details

NPI number 1225591258
LBN Legal business name Cooper, Micala
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Apr 8th, 2019 - about 6 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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