National Provider Identifier Database

SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
Health Service


Contact Information

SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 CAMPUS DRIVE
CENTER FOR HEALTH AND WELL-BEING
WEATHERFORD, OK73096
Phone: 580-774-6039
Fax: 580-774-7121
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for SOUTHWESTERN OKLAHOMA STATE UNIVERSITY

NPI Number 1912691908
Legal business name
LBN
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
Authorized official SUSAN ELLIS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/05/2023
Last updated 06/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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