Healthcare Provider Details

I. General information

NPI: 1558698662
Provider Name (Legal Business Name): LINDA ESKUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 HIGHWAY 271 N
ANTLERS OK
74523-2055
US

IV. Provider business mailing address

PO BOX 203
RATTAN OK
74562-0203
US

V. Phone/Fax

Practice location:
  • Phone: 580-298-5062
  • Fax: 580-298-5072
Mailing address:
  • Phone: 580-271-1546
  • Fax: 580-298-5072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: