Adlaon, Wellie P.
Adlaon, Wellie P. is an sole proprietor health care provider with primary practice located at 508 E 24Th St , Tishomingo OK 73460-3214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adlaon, Wellie P. can be contacted via phone (580) 371-9117.Contact Information
Primary practice address
508 E 24Th St
Tishomingo OK 73460-3214
Phone: (580) 371-9117
Fax: (580) 371-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21084 | Oklahoma |
Profile Details
| NPI number | 1245326925 |
|---|---|
| LBN Legal business name | Adlaon, Wellie P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 24th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245326925 | NPPES |
| Oklahoma | MEDICAID | 100224990B |
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