Grady, Barbara Telisa
Grady, Barbara Telisa is an sole proprietor health care provider with primary practice located at 1327 N 16Th Ave , Durant OK 74701-2134. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grady, Barbara Telisa can be contacted via phone (580) 931-9064.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1275887523 |
|---|---|
| LBN Legal business name | Grady, Barbara Telisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2012 |
| Last updated | Nov 7th, 2012 - about 14 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 | 1275887523 | NPPES |
| Oklahoma | MEDICAID | 200287120A |
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