Mullendore, Tracie Marie

Mullendore, Tracie Marie is an individual health care provider with primary practice located at 26239 N County Road 3210 , Wynnewood OK 73098-9205. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mullendore, Tracie Marie can be contacted via phone (405) 207-4592.

Contact Information

Primary practice address
26239 N County Road 3210 Wynnewood OK 73098-9205
Phone: (405) 207-4592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1154179307
LBN Legal business name Mullendore, Tracie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2024
Last updated Jun 6th, 2024 - about 5 months 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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