Hatcher, Shana Marie

Hatcher, Shana Marie is an individual health care provider with primary practice located at 1322 W Main St , Antlers OK 74523-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Hatcher, Shana Marie can be contacted via phone (580) 298-5062.

Contact Information

Primary practice address
1322 W Main St Antlers OK 74523-2016
Fax: (580) 298-9958
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1174951107
LBN Legal business name Hatcher, Shana Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Oct 30th, 2013 - 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 1174951107 NPPES
Oklahoma MEDICAID 200111200A

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