Woodberry, Chaquita

Woodberry, Chaquita is an sole proprietor health care provider with primary practice located at 9705 Ne 3Rd St , Midwest City OK 73130-3511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Woodberry, Chaquita can be contacted via phone (405) 532-9843.

Contact Information

Primary practice address
9705 Ne 3Rd St Midwest City OK 73130-3511
Phone: (405) 532-9843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X K081534729 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X K081534729 Oklahoma

Profile Details

NPI number 1114478443
LBN Legal business name Woodberry, Chaquita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2016
Last updated Oct 21st, 2016 - about 8 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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