Michael, Kevin Austin

Michael, Kevin Austin is an sole proprietor health care provider with primary practice located at 1011 Honor Heights Dr , Muskogee OK 74401-1318. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Michael, Kevin Austin can be contacted via phone (407) 257-2870.

Contact Information

Primary practice address
1011 Honor Heights Dr Muskogee OK 74401-1318
Phone: (407) 257-2870
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1104189489
LBN Legal business name Michael, Kevin Austin
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2012
Last updated Jun 21st, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104189489 NPPES
Oklahoma MEDICAID 1104189489

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