Gissandaner, Andre Deon

Gissandaner, Andre Deon is an individual health care provider with primary practice located at 4436 Nw 50Th St , Oklahoma City OK 73112-2212. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gissandaner, Andre Deon can be contacted via phone (405) 858-2700.

Contact Information

Primary practice address
4436 Nw 50Th St Oklahoma City OK 73112-2212
Phone: (405) 858-2700
Fax: (405) 858-2880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1821292566
LBN Legal business name Gissandaner, Andre Deon
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1821292566 NPPES
Oklahoma MEDICAID NA

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