Allen, Melinda Rother

Allen, Melinda Rother is an individual health care provider with primary practice located at 100 Elmwood Ave , Ponca City OK 74601-3406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Allen, Melinda Rother can be contacted via phone (580) 716-1778.

Contact Information

Primary practice address
100 Elmwood Ave Ponca City OK 74601-3406
Fax: (918) 787-2276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3741 Oklahoma

Profile Details

NPI number 1396737888
LBN Legal business name Allen, Melinda Rother
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 9th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396737888 NPPES
Other 110245910 RR MEDICARE
MEDICAID 1001360403 RR MEDICARE

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