Short, Angela Renee

Short, Angela Renee is an sole proprietor health care provider with primary practice located at 2121 S 125Th East Ave Ste 106 , Tulsa OK 74129-5800. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is her primary health care specialty. Short, Angela Renee can be contacted via phone (918) 574-8442.

Contact Information

Primary practice address
2121 S 125Th East Ave Ste 106 Tulsa OK 74129-5800
Phone: (918) 574-8442
Fax: (918) 591-3955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 311698 Oklahoma

Profile Details

NPI number 1811417934
LBN Legal business name Short, Angela Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2017
Last updated Feb 22nd, 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.

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