Ennis, Rachiel Ann

Ennis, Rachiel Ann is an sole proprietor health care provider with primary practice located at 721 S George Nigh Expy , Mcalester OK 74501-7400. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Ennis, Rachiel Ann can be contacted via phone (918) 470-7069.

Contact Information

Primary practice address
721 S George Nigh Expy Mcalester OK 74501-7400
Phone: (918) 470-7069
Fax: (918) 302-0405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1780915207
LBN Legal business name Ennis, Rachiel Ann
Credentials LPC UNDERSUPERVISION
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2010
Last updated Jan 22nd, 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 1780915207 NPPES
Oklahoma MEDICAID 100746580A

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