Glenn, Karen

Glenn, Karen is an individual health care provider with primary practice located at 32 N Washington St , Ardmore OK 73401-7013. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Glenn, Karen can be contacted via phone (580) 224-9845.

Contact Information

Primary practice address
32 N Washington St Ardmore OK 73401-7013
Phone: (580) 224-9845
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1003170804
LBN Legal business name Glenn, Karen
Credentials BHRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 13 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 1003170804 NPPES
Oklahoma MEDICAID 100708380A
Oklahoma MEDICAID 200049040

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