Stuart, Misty Dawn

Stuart, Misty Dawn is an sole proprietor health care provider with primary practice located at 617 Se Ave F , Idabel OK 74745-6216. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stuart, Misty Dawn can be contacted via phone (580) 933-7031.

Contact Information

Primary practice address
617 Se Ave F Idabel OK 74745-6216
Phone: (580) 933-7031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1790055846
LBN Legal business name Stuart, Misty Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Jun 27th, 2014 - about 11 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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