Gonzales, Misty Dawn
Gonzales, Misty Dawn is an sole proprietor health care provider with primary practice located at 4200 Se Adams Rd , Bartlesville OK 74006-8448. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gonzales, Misty Dawn can be contacted via phone (918) 331-9050.Contact Information
Primary practice address
4200 Se Adams Rd
Bartlesville OK 74006-8448
Phone: (918) 331-9050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1700435450 |
|---|---|
| LBN Legal business name | Gonzales, Misty Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Sep 5th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700435450 | NPPES |
| Oklahoma | Other | 1003365867 | GROUP NPI |
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