Individual
EMANUEL A BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. BHRS
Contact information
Practice address
819 NE 16TH ST, OKLAHOMA CITY, OK 73104-4607
(405) 824-3125
Mailing address
819 NE 16TH ST, OKLAHOMA CITY, OK 73104-4607
(405) 824-3125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659685402
—
OK
Enumeration date
09/02/2012
Last updated
09/02/2012
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