Randall, Ethan
Randall, Ethan is an sole proprietor health care provider with primary practice located at 308 E Downing St , Tahlequah OK 74464-3014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randall, Ethan can be contacted via phone (918) 931-3995.Contact Information
Primary practice address
308 E Downing St
Tahlequah OK 74464-3014
Phone: (918) 931-3995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8189 | Oklahoma |
Profile Details
| NPI number | 1508526773 |
|---|---|
| LBN Legal business name | Randall, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2021 |
| Last updated | Jun 24th, 2024 - about last year |
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.
Popular Providers
-
Cooper, Micala
1510 E Shawnee Cir , Tahlequah OK 74464-2528 -
Perry, Sara Kay
16414 W 760 Rd , Tahlequah OK 74464-1675 -
Springer, Dorothy Colleen
1008 S. Muskogee , Tahlequah OK 74464 -
Labounty, Hannah Kay
1510 E Shawnee Cir , Tahlequah OK 74464-2528 -
Green, Charity Faith
100 S Bliss Ave , Tahlequah OK 74464-2512 -
Rusco, Pamela Kay
100 S Bliss Avenue Cherokee Nation Behavioral Health, Tahlequah OK 74464 -
Ogedengbe, Theron
227 N Water Ave , Tahlequah OK 74464-2825 -
Avance, Kristin
1277 Skill Center Cir , Tahlequah OK 74464-6495