Leake, Johnny Marvell
Leake, Johnny Marvell is an sole proprietor health care provider with primary practice located at 613 Bath Cir , Oklahoma City OK 73117-3024. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Leake, Johnny Marvell can be contacted via phone (405) 208-4045.Contact Information
Primary practice address
613 Bath Cir
Oklahoma City OK 73117-3024
Phone: (405) 208-4045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1003128745 |
|---|---|
| LBN Legal business name | Leake, Johnny Marvell |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2010 |
| Last updated | Jul 10th, 2010 - about 14 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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