Smith, Tommie J

Smith, Tommie J is an individual health care provider with primary practice located at Rr 1, Box 35D , Boley OK 74829. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Smith, Tommie J can be contacted via phone (918) 667-3367.

Contact Information

Primary practice address
Rr 1, Box 35D Boley OK 74829
Fax: (918) 667-3387
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X #4003 Oklahoma

Profile Details

NPI number 1497825822
LBN Legal business name Smith, Tommie J
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated May 6th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497825822 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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