Black, Brent Matthew
Black, Brent Matthew is an sole proprietor health care provider with primary practice located at 114 N Grand Ave Suite 419, Okmulgee OK 74447-4013. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Black, Brent Matthew can be contacted via phone (918) 756-9411.Contact Information
Primary practice address
114 N Grand Ave Suite 419
Okmulgee OK 74447-4013
Phone: (918) 756-9411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3251 | Oklahoma |
Profile Details
| NPI number | 1861580375 |
|---|---|
| LBN Legal business name | Black, Brent Matthew |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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