Breeding, Avian Dinah

Breeding, Avian Dinah is an sole proprietor health care provider with primary practice located at 4149 Highline Blvd Suite 380, Oklahoma City OK 73108-2103. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Breeding, Avian Dinah can be contacted via phone (405) 942-7650.

Contact Information

Primary practice address
4149 Highline Blvd Suite 380 Oklahoma City OK 73108-2103
Fax: (405) 942-7686
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0059297 Oklahoma

Profile Details

NPI number 1467731976
LBN Legal business name Breeding, Avian Dinah
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2011
Last updated Aug 15th, 2011 - about 13 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 1467731976 NPPES
Oklahoma MEDICAID 200049040

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