Waldrup, Phyllis Elisha

Waldrup, Phyllis Elisha is an sole proprietor health care provider with primary practice located at 19320 E Admiral Pl Ste B , Catoosa OK 74015-3240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Waldrup, Phyllis Elisha can be contacted via phone (550) 391-8340.

Contact Information

Primary practice address
19320 E Admiral Pl Ste B Catoosa OK 74015-3240
Phone: (550) 391-8340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942717624
LBN Legal business name Waldrup, Phyllis Elisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2018
Last updated Mar 24th, 2025 - about last year

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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