Rateliff, Taryn Dawn
Rateliff, Taryn Dawn is an individual health care provider with primary practice located at 2530 S Commerce St , Ardmore OK 73401-5519. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Rateliff, Taryn Dawn can be contacted via phone (580) 226-5636.Contact Information
Primary practice address
2530 S Commerce St
Ardmore OK 73401-5519
Phone: (580) 226-5636
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1013511906 |
---|---|
LBN Legal business name | Rateliff, Taryn Dawn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2020 |
Last updated | Nov 23rd, 2020 - about 4 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 | 1013511906 | NPPES |
Oklahoma | MEDICAID | 000000 |
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