Shambles, Latricia Edna

Shambles, Latricia Edna is an individual health care provider with primary practice located at 111 W Delaware Ave , Nowata OK 74048-2616. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Shambles, Latricia Edna can be contacted via phone (918) 273-1841.

Contact Information

Primary practice address
111 W Delaware Ave Nowata OK 74048-2616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1265948004
LBN Legal business name Shambles, Latricia Edna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 8 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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