Billups, Bobby Joe

Billups, Bobby Joe is an individual health care provider with primary practice located at 118 S Main St , Wagoner OK 74467-5221. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Billups, Bobby Joe can be contacted via phone (918) 485-1573.

Contact Information

Primary practice address
118 S Main St Wagoner OK 74467-5221
Phone: (918) 485-1573
Fax: (918) 485-1575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1275859175
LBN Legal business name Billups, Bobby Joe
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Apr 16th, 2010 - about 16 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 1275859175 NPPES
Oklahoma MEDICAID 200109760A

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