Le Brocq, Suzannah Louise

Le Brocq, Suzannah Louise is an sole proprietor health care provider with primary practice located at 12&12 Inc., 6333 East Skelly Drive, Tulsa OK 74135. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Le Brocq, Suzannah Louise can be contacted via phone (918) 664-4224.

Contact Information

Primary practice address
12&12 Inc., 6333 East Skelly Drive Tulsa OK 74135
Phone: (918) 664-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Oklahoma

Profile Details

NPI number 1568683530
LBN Legal business name Le Brocq, Suzannah Louise
Credentials MPHIL
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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