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Contact Information

BRENDA DAVIS, CDE
105365 SOUTH HWY 102
MCLOUD, OK74851
 Phone: 405-964-2081
 Fax: 405-964-2170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for BRENDA DAVIS · (Female)

NPI # 1922417674
Status Active
Credentials CDE
Entity Individual
Enumeration date 08/07/2014
Last updated 08/07/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 21310468
  • OK License # 68458
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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