Griffith, Carol Penelope

Griffith, Carol Penelope is an individual health care provider with primary practice located at 32300 S 625 Rd , Grove OK 74344-6285. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Griffith, Carol Penelope can be contacted via phone (918) 786-2930.

Contact Information

Primary practice address
32300 S 625 Rd Grove OK 74344-6285
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1265198832
LBN Legal business name Griffith, Carol Penelope
Credentials CMII, PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2021
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265198832 NPPES
Oklahoma MEDICAID 1265198832

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