Mondestin, Gerard

Mondestin, Gerard is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mondestin, Gerard can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 256-6476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7124 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 2013043958 Missouri

Profile Details

NPI number 1710302898
LBN Legal business name Mondestin, Gerard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2014
Last updated Jun 10th, 2019 - about 7 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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