Moore, Wendell C

Moore, Wendell C is an sole proprietor health care provider with primary practice located at 1501 W Jackson Pl , Broken Arrow OK 74012-4910. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Moore, Wendell C can be contacted via phone (918) 892-3117.

Contact Information

Primary practice address
1501 W Jackson Pl Broken Arrow OK 74012-4910
Phone: (918) 892-3117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1316387988
LBN Legal business name Moore, Wendell C
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2013
Last updated Jun 27th, 2013 - about 13 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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