Smith, James Edmond
Smith, James Edmond is an sole proprietor health care provider with primary practice located at 201 N Broadway St Ste 100 , Moore OK 73160-5135. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Smith, James Edmond can be contacted via phone (405) 990-0816.Contact Information
Primary practice address
201 N Broadway St Ste 100
Moore OK 73160-5135
Phone: (405) 990-0816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1659853729 |
|---|---|
| LBN Legal business name | Smith, James Edmond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2018 |
| Last updated | Sep 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659853729 | NPPES |
| Other | NONE | NONE |
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