Stoever, Sally

Stoever, Sally is an individual health care provider with primary practice located at 2221 W Detroit St , Broken Arrow OK 74012-3628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Stoever, Sally can be contacted via phone (918) 615-6492.

Contact Information

Primary practice address
2221 W Detroit St Broken Arrow OK 74012-3628
Fax: (918) 615-6493
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 806 Oklahoma

Profile Details

NPI number 1205039450
LBN Legal business name Stoever, Sally
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Sep 20th, 2016 - about 10 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 1205039450 NPPES
Oklahoma MEDICAID 100744030A
Oklahoma MEDICAID 100654160C

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