Portillo, Manolito Jose
Portillo, Manolito Jose is an sole proprietor health care provider with primary practice located at 8501 Nw Madische Rd , Lawton OK 73507-1221. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Portillo, Manolito Jose can be contacted via phone (580) 492-3614.Contact Information
Primary practice address
8501 Nw Madische Rd
Lawton OK 73507-1221
Phone: (580) 492-3614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | Oklahoma |
Profile Details
| NPI number | 1932749157 |
|---|---|
| LBN Legal business name | Portillo, Manolito Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2020 |
| Last updated | Jan 15th, 2020 - about 6 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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