Coulter, Clyde Jerome
Coulter, Clyde Jerome is an sole proprietor health care provider with primary practice located at 9800 Ne 10Th St , Midwest City OK 73130-1507. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Coulter, Clyde Jerome can be contacted via phone (405) 706-6945.Contact Information
Primary practice address
9800 Ne 10Th St
Midwest City OK 73130-1507
Phone: (405) 706-6945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P080460188 | Oklahoma |
Profile Details
| NPI number | 1326387192 |
|---|---|
| LBN Legal business name | Coulter, Clyde Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2013 |
| Last updated | Feb 13th, 2013 - about 11 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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