Wilkerson, Traci Lee

Wilkerson, Traci Lee is an individual health care provider with primary practice located at 3312 W Okmulgee St , Muskogee OK 74401-5069. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Wilkerson, Traci Lee can be contacted via phone (918) 682-1515.

Contact Information

Primary practice address
3312 W Okmulgee St Muskogee OK 74401-5069
Phone: (918) 682-1515
Fax: (918) 682-1598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 144 Oklahoma
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 144 Oklahoma
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 144 Oklahoma

Profile Details

NPI number 1336342161
LBN Legal business name Wilkerson, Traci Lee
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336342161 NPPES
Oklahoma Other DC0957 MEDICARE RAILROAD

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