Gerdom, Madison Lynn

Gerdom, Madison Lynn is an individual health care provider with primary practice located at 308 N Aspen Ave , Broken Arrow OK 74012-2205. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gerdom, Madison Lynn can be contacted via phone (539) 777-0940.

Contact Information

Primary practice address
308 N Aspen Ave Broken Arrow OK 74012-2205
Phone: (539) 777-0940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770173155
LBN Legal business name Gerdom, Madison Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 4 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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