Wise, Casey Layne
Wise, Casey Layne is an sole proprietor health care provider with primary practice located at 1044 N Narcissus Ave , Broken Arrow OK 74012-1468. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wise, Casey Layne can be contacted via phone (918) 505-8209.Contact Information
Primary practice address
1044 N Narcissus Ave
Broken Arrow OK 74012-1468
Phone: (918) 505-8209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1972028132 |
|---|---|
| LBN Legal business name | Wise, Casey Layne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2017 |
| Last updated | Aug 9th, 2017 - about 7 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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