Crookedacre, Dennis Charles

Crookedacre, Dennis Charles is an individual health care provider with primary practice located at 8937 S Garnett Rd , Broken Arrow OK 74012-6004. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Crookedacre, Dennis Charles can be contacted via phone (918) 872-9777.

Contact Information

Primary practice address
8937 S Garnett Rd Broken Arrow OK 74012-6004
Phone: (918) 872-9777
Fax: (918) 872-9779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010401 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 4471 Oklahoma

Profile Details

NPI number 1326283466
LBN Legal business name Crookedacre, Dennis Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Aug 6th, 2015 - about 9 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 1326283466 NPPES
Oklahoma Other 4471 LICENSE

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