Egerton, David

Egerton, David is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Egerton, David can be contacted via phone (806) 351-3777.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Fax: (806) 351-3765
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24263 Texas
Behavioral Health & Social Service Providers / Family 103TF0000X 24263 Texas

Profile Details

NPI number 1013949197
LBN Legal business name Egerton, David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013949197 NPPES
Oklahoma MEDICAID 100841260 A
Oklahoma MEDICAID 038409104
Oklahoma MEDICAID 038409102
Oklahoma MEDICAID 19708017

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