Lack, Caleb Wayne

Lack, Caleb Wayne is an sole proprietor health care provider with primary practice located at 7413 Oak Ave , Edmond OK 73034-9058. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lack, Caleb Wayne can be contacted via phone (405) 509-0959.

Contact Information

Primary practice address
7413 Oak Ave Edmond OK 73034-9058
Phone: (405) 509-0959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 07-37P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1143 Oklahoma

Profile Details

NPI number 1003074741
LBN Legal business name Lack, Caleb Wayne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Mar 21st, 2018 - about 8 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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