Tom, Misty D

Tom, Misty D is an sole proprietor health care provider with primary practice located at 10343 Sw 140Th Rd , Wilburton OK 74578-6858. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tom, Misty D can be contacted via phone (918) 429-8742.

Contact Information

Primary practice address
10343 Sw 140Th Rd Wilburton OK 74578-6858
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1558960302
LBN Legal business name Tom, Misty D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2020
Last updated Oct 22nd, 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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