Davis, Gretchen Louise
Davis, Gretchen Louise is an sole proprietor health care provider with primary practice located at 3100 Medical Pkwy , Claremore OK 74017-1088. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Gretchen Louise can be contacted via phone (918) 342-0770.Contact Information
Primary practice address
3100 Medical Pkwy
Claremore OK 74017-1088
Phone: (918) 342-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3735 | Oklahoma |
Profile Details
| NPI number | 1700012374 |
|---|---|
| LBN Legal business name | Davis, Gretchen Louise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Feb 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700012374 | NPPES |
| Oklahoma | MEDICAID | 200264580A |
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