Fenderson, Erica

Fenderson, Erica is an sole proprietor health care provider with primary practice located at 2548 E Kenosha St , Broken Arrow OK 74014-6712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Fenderson, Erica can be contacted via phone (903) 746-7703.

Contact Information

Primary practice address
2548 E Kenosha St Broken Arrow OK 74014-6712
Phone: (903) 746-7703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316644883
LBN Legal business name Fenderson, Erica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about 3 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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