Allison, Tammy Louise

Allison, Tammy Louise is an individual health care provider with primary practice located at 200 White Eagle Drive , Ponca City OK 74601. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Allison, Tammy Louise can be contacted via phone (580) 765-2501.

Contact Information

Primary practice address
200 White Eagle Drive Ponca City OK 74601
Phone: (580) 765-2501
Fax: (580) 765-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L0057845 Oklahoma

Profile Details

NPI number 1780998526
LBN Legal business name Allison, Tammy Louise
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2010
Last updated Aug 4th, 2010 - about 14 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 1780998526 NPPES
Oklahoma MEDICAID 100700590D
Oklahoma MEDICAID 200614060B

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