Mullins, Marisa

Mullins, Marisa is an individual health care provider with primary practice located at 411 S Central Ave , Idabel OK 74745-6059. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mullins, Marisa can be contacted via phone (580) 286-5045.

Contact Information

Primary practice address
411 S Central Ave Idabel OK 74745-6059
Fax: (580) 286-5021
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538653126
LBN Legal business name Mullins, Marisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Jun 18th, 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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