King, Leah

King, Leah is an sole proprietor health care provider with primary practice located at 4 E Clark Bass Blvd Ste 205 , Mcalester OK 74501-4285. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. King, Leah can be contacted via phone (918) 421-8897.

Contact Information

Primary practice address
4 E Clark Bass Blvd Ste 205 Mcalester OK 74501-4285
Fax: (918) 302-0825
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X N081495759 Oklahoma

Profile Details

NPI number 1740636182
LBN Legal business name King, Leah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2016
Last updated May 4th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740636182 NPPES
Oklahoma MEDICAID 100736010A

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