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
Fax: (918) 647-2181
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144570151 NPPES
Oklahoma MEDICAID 20226970

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