Ogedengbe, Theron

Ogedengbe, Theron is an sole proprietor health care provider with primary practice located at 227 N Water Ave , Tahlequah OK 74464-2825. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ogedengbe, Theron can be contacted via phone (918) 207-0078.

Contact Information

Primary practice address
227 N Water Ave Tahlequah OK 74464-2825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578925681
LBN Legal business name Ogedengbe, Theron
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2016
Last updated Mar 28th, 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.

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