Portillo, Manolito Jose

Portillo, Manolito Jose is an sole proprietor health care provider with primary practice located at 8501 Nw Madische Rd , Lawton OK 73507-1221. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Portillo, Manolito Jose can be contacted via phone (580) 492-3614.

Contact Information

Primary practice address
8501 Nw Madische Rd Lawton OK 73507-1221
Phone: (580) 492-3614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Peer Specialist 175T00000X Oklahoma

Profile Details

NPI number 1932749157
LBN Legal business name Portillo, Manolito Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2020
Last updated Jan 15th, 2020 - about 5 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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