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Contact Information

MELISSA BLACKBIRD
499 W BOUNDRY
KANSAS, OK74347-1662
 Phone: 918-868-2567
 Fax: 918-868-5584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for MELISSA BLACKBIRD · (Female)

NPI Number 1699140004
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2015
Last updated 12/10/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 48776
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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