Phillips, Trae Anthony

Phillips, Trae Anthony is an sole proprietor health care provider with primary practice located at 429 N Union Ave , Shawnee OK 74801-7064. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Phillips, Trae Anthony can be contacted via phone (405) 275-1844.

Contact Information

Primary practice address
429 N Union Ave Shawnee OK 74801-7064
Phone: (405) 275-1844
Fax: (405) 275-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L084049560 Oklahoma

Profile Details

NPI number 1740974138
LBN Legal business name Phillips, Trae Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2023
Last updated Jun 7th, 2023 - about 3 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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