Green, Aelicia Fran

Green, Aelicia Fran is an individual health care provider with primary practice located at 110 Leoser St , Tahlequah OK 74464-7032. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Green, Aelicia Fran can be contacted via phone (918) 506-0192.

Contact Information

Primary practice address
110 Leoser St Tahlequah OK 74464-7032
Phone: (918) 506-0192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1366097636
LBN Legal business name Green, Aelicia Fran
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 5 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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