Throckmorton, Mark
Throckmorton, Mark is an sole proprietor health care provider with primary practice located at 701 S Muskogee Ave , Tahlequah OK 74464-4717. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Throckmorton, Mark can be contacted via phone (918) 207-0078.Contact Information
Primary practice address
701 S Muskogee Ave
Tahlequah OK 74464-4717
Phone: (918) 207-0078
Fax: (918) 207-0558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1417340647 |
|---|---|
| LBN Legal business name | Throckmorton, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2015 |
| Last updated | Mar 12th, 2015 - about 11 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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