National Provider Identifier Database

TEAM CLINICS AH LLC
Primary Care


Contact Information

TEAM CLINICS AH LLC
372 N COBB
CANEY, OK74533
Phone: 405-546-4130
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for TEAM CLINICS AH LLC

NPI Number 1609476654
Legal business name
LBN
TEAM CLINICS AH LLC
Authorized official TREVOR NUTT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/29/2020
Last updated 06/22/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200920640

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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