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
Phone: (405) 942-7650
Fax: (405) 942-7686
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467731976 | NPPES |
Oklahoma | MEDICAID | 200049040 |
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