Foreman, Timothy Wayne

Foreman, Timothy Wayne is an sole proprietor health care provider with primary practice located at 16414 W 760 Rd , Tahlequah OK 74464-1675. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Public Health or Welfare, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Foreman, Timothy Wayne can be contacted via phone (918) 708-9009.

Contact Information

Primary practice address
16414 W 760 Rd Tahlequah OK 74464-1675
Phone: (918) 708-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Public Health or Welfare 251K00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1114613973
LBN Legal business name Foreman, Timothy Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2023
Last updated Apr 14th, 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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