Mcdonald, Dakitria Shantel

Mcdonald, Dakitria Shantel is an individual health care provider with primary practice located at 602 Sw 38Th St , Lawton OK 73505-6912. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mcdonald, Dakitria Shantel can be contacted via phone (580) 248-5780.

Contact Information

Primary practice address
602 Sw 38Th St Lawton OK 73505-6912
Phone: (580) 248-5780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Oklahoma

Profile Details

NPI number 1518234137
LBN Legal business name Mcdonald, Dakitria Shantel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518234137 NPPES
Oklahoma MEDICAID 171M00000X

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