Woody, Latoya Nichole
Woody, Latoya Nichole is an sole proprietor health care provider with primary practice located at 4501 N Classen Blvd , Oklahoma City OK 73118-4822. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Woody, Latoya Nichole can be contacted via phone (405) 968-2413.Contact Information
Primary practice address
4501 N Classen Blvd
Oklahoma City OK 73118-4822
Phone: (405) 968-2413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Oklahoma |
Profile Details
| NPI number | 1154665511 |
|---|---|
| LBN Legal business name | Woody, Latoya Nichole |
| Credentials | CASE MANAGE 1 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2012 |
| Last updated | Mar 13th, 2020 - about 6 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 | 1154665511 | NPPES |
| Oklahoma | MEDICAID | 1154665511 |
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