Gannon, Bryce

Gannon, Bryce is an sole proprietor health care provider with primary practice located at 1625 W Owen K Garriott Rd Suite F, Enid OK 73703-5653. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gannon, Bryce can be contacted via phone (580) 242-4673.

Contact Information

Primary practice address
1625 W Owen K Garriott Rd Suite F Enid OK 73703-5653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174060347
LBN Legal business name Gannon, Bryce
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2017
Last updated Jan 26th, 2017 - about 9 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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