Provider Demographics
NPI:1578275590
Name:RING, JOSIE
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:RING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:OK
Mailing Address - Zip Code:73061-9606
Mailing Address - Country:US
Mailing Address - Phone:405-762-8239
Mailing Address - Fax:
Practice Address - Street 1:607 CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:OK
Practice Address - Zip Code:73061-9606
Practice Address - Country:US
Practice Address - Phone:405-762-8239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist