Darr, Trace

Darr, Trace is an individual health care provider with primary practice located at 1336 N Harrison Ave , Shawnee OK 74801-5206. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Darr, Trace can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
1336 N Harrison Ave Shawnee OK 74801-5206
Phone: (405) 424-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1649931148
LBN Legal business name Darr, Trace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2022
Last updated Mar 3rd, 2023 - about 2 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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