Wall, Shawn
Wall, Shawn is an sole proprietor health care provider with primary practice located at 68470 S 315 Rd , Wagoner OK 74467-6292. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wall, Shawn can be contacted via phone (918) 729-9397.Contact Information
Primary practice address
68470 S 315 Rd
Wagoner OK 74467-6292
Phone: (918) 729-9397
Fax: (918) 482-5136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1649691908 |
|---|---|
| LBN Legal business name | Wall, Shawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2014 |
| Last updated | Jan 3rd, 2014 - about 12 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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