Ahlefeld, Dorsa Dianne
Ahlefeld, Dorsa Dianne is an individual health care provider with primary practice located at 1200 Childrens Ave Suite 7D, Oklahoma City OK 73104-4637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ahlefeld, Dorsa Dianne can be contacted via phone (405) 271-3800.Contact Information
Primary practice address
1200 Childrens Ave Suite 7D
Oklahoma City OK 73104-4637
Phone: (405) 271-3800
Fax: (405) 271-3399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R0078915 | Oklahoma |
Profile Details
| NPI number | 1427246008 |
|---|---|
| LBN Legal business name | Ahlefeld, Dorsa Dianne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Jun 24th, 2015 - about 10 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 | 1427246008 | NPPES |
| Oklahoma | MEDICAID | 200208950A |
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