Headley, Shannon Rebekah

Headley, Shannon Rebekah is an sole proprietor health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Headley, Shannon Rebekah can be contacted via phone (918) 458-3100.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Surgery 208600000X R3534 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Oklahoma

Profile Details

NPI number 1326484015
LBN Legal business name Headley, Shannon Rebekah
Credentials DO, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Jun 16th, 2022 - 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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