Wallis, Billie M
Wallis, Billie M is an sole proprietor health care provider with primary practice located at 804 W Choctaw Ave , Chickasha OK 73018-2310. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wallis, Billie M can be contacted via phone (405) 222-0622.Contact Information
Primary practice address
804 W Choctaw Ave
Chickasha OK 73018-2310
Phone: (405) 222-0622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5859 | Oklahoma |
Profile Details
| NPI number | 1568705739 |
|---|---|
| LBN Legal business name | Wallis, Billie M |
| Credentials | LPC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2013 |
| Last updated | Aug 19th, 2024 - about 2 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 | 1568705739 | NPPES |
| Oklahoma | MEDICAID | 101YP2500X |
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