Summers, Mary E
Summers, Mary E is an sole proprietor health care provider with primary practice located at 4122 W 55Th Place S. Suite 119, Tulsa OK 74107-9108. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Summers, Mary E can be contacted via phone (918) 486-9996.Contact Information
Primary practice address
4122 W 55Th Place S. Suite 119
Tulsa OK 74107-9108
Phone: (918) 486-9996
Fax: (800) 260-7966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | BHRS CERTIFICATION | Oklahoma |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6100 | Oklahoma |
Profile Details
| NPI number | 1841623444 |
|---|---|
| LBN Legal business name | Summers, Mary E |
| Credentials | BS/BHRS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2013 |
| Last updated | Mar 4th, 2021 - about 4 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 | 1841623444 | NPPES |
| Oklahoma | MEDICAID | PENDING |
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