Deshazer, Mitchell Gene
Deshazer, Mitchell Gene is an individual health care provider with primary practice located at 624 W Independence St Ste 113-115 , Shawnee OK 74804-4306. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Deshazer, Mitchell Gene can be contacted via phone (405) 585-6413.Contact Information
Primary practice address
624 W Independence St Ste 113-115
Shawnee OK 74804-4306
Phone: (405) 585-6413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Oklahoma |
Profile Details
| NPI number | 1700303575 |
|---|---|
| LBN Legal business name | Deshazer, Mitchell Gene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Aug 23rd, 2017 - about 8 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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