Powell, Susan
Powell, Susan is an sole proprietor health care provider with primary practice located at 42012 Timber Ridge Rd , Howe OK 74940-3612. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Powell, Susan can be contacted via phone (918) 653-3135.Contact Information
Primary practice address
42012 Timber Ridge Rd
Howe OK 74940-3612
Phone: (918) 653-3135
Fax: (918) 647-2181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
NPI number | 1144570151 |
---|---|
LBN Legal business name | Powell, Susan |
Credentials | Master of Education (MED) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2012 |
Last updated | Sep 17th, 2012 - about 12 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 | 1144570151 | NPPES |
Oklahoma | MEDICAID | 20226970 |
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