Smith, Amy Dawn

Smith, Amy Dawn is an individual health care provider with primary practice located at 1713 Clarke St , Ponca City OK 74601-2912. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Smith, Amy Dawn can be contacted via phone (580) 382-1381.

Contact Information

Primary practice address
1713 Clarke St Ponca City OK 74601-2912
Phone: (580) 382-1381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1497393243
LBN Legal business name Smith, Amy Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2019
Last updated Dec 11th, 2019 - about 6 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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