York, Tish

York, Tish is an sole proprietor health care provider with primary practice located at 1102 N Philadelphia Ave , Shawnee OK 74801-5120. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. York, Tish can be contacted via phone (405) 788-8554.

Contact Information

Primary practice address
1102 N Philadelphia Ave Shawnee OK 74801-5120
Phone: (405) 788-8554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oklahoma

Profile Details

NPI number 1881940344
LBN Legal business name York, Tish
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2012
Last updated Feb 26th, 2016 - about 9 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 1881940344 NPPES
Oklahoma MEDICAID 200460940B

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