Ataddlety, Corwin John

Ataddlety, Corwin John is an individual health care provider with primary practice located at 423 N 1St St , Anadarko OK 73005-2111. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ataddlety, Corwin John can be contacted via phone (405) 247-2428.

Contact Information

Primary practice address
423 N 1St St Anadarko OK 73005-2111
Phone: (405) 247-2428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750013652
LBN Legal business name Ataddlety, Corwin John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2022
Last updated Jan 6th, 2025 - about last year

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 1750013652 NPPES
Oklahoma Other 034621147 SOONERCARE

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