Walker, Melody Brooke
Walker, Melody Brooke is an sole proprietor health care provider with primary practice located at 711 S Muskogee Ave , Tahlequah OK 74464-4717. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Walker, Melody Brooke can be contacted via phone (918) 207-0078.Contact Information
Primary practice address
711 S Muskogee Ave
Tahlequah OK 74464-4717
Phone: (918) 207-0078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1518391028 |
|---|---|
| LBN Legal business name | Walker, Melody Brooke |
| Credentials | BHCM II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2013 |
| Last updated | Oct 16th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518391028 | NPPES |
| Oklahoma | MEDICAID | 1518391028 |
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