Fraise, Mykelah

Fraise, Mykelah is an sole proprietor health care provider with primary practice located at 1728 S Carson Ave , Tulsa OK 74119-4610. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Fraise, Mykelah can be contacted via phone (918) 406-3420.

Contact Information

Primary practice address
1728 S Carson Ave Tulsa OK 74119-4610
Phone: (918) 406-3420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1295517258
LBN Legal business name Fraise, Mykelah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about last year

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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