Mcconnell, Addison Bailie
Mcconnell, Addison Bailie is an sole proprietor health care provider with primary practice located at 904 Nw 4Th St , Stigler OK 74462-1653. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Mcconnell, Addison Bailie can be contacted via phone (918) 571-2470.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | K860051454 | Oklahoma |
Profile Details
| NPI number | 1255789178 |
|---|---|
| LBN Legal business name | Mcconnell, Addison Bailie |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Oct 11th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255789178 | NPPES |
| Oklahoma | MEDICAID | 200507310 A | |
| Oklahoma | MEDICAID | 100733860 B |
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