Ingram, Mark Anthony

Ingram, Mark Anthony is an sole proprietor health care provider with primary practice located at 7537 S Braden Ave , Tulsa OK 74136-8202. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ingram, Mark Anthony can be contacted via phone (918) 857-0269.

Contact Information

Primary practice address
7537 S Braden Ave Tulsa OK 74136-8202
Phone: (918) 857-0269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 635 Oklahoma

Profile Details

NPI number 1417235425
LBN Legal business name Ingram, Mark Anthony
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 2011 - 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.

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