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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013511906 NPPES
Oklahoma MEDICAID 000000

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