Waggoner, Shelley

Waggoner, Shelley is an sole proprietor health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Waggoner, Shelley can be contacted via phone (918) 633-2442.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417299447
LBN Legal business name Waggoner, Shelley
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2013
Last updated Mar 16th, 2013 - about 9 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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