Dandridge, Melinda

Dandridge, Melinda is an individual health care provider with primary practice located at 410 E Main St , Jenks OK 74037-4135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dandridge, Melinda can be contacted via phone (918) 298-5437.

Contact Information

Primary practice address
410 E Main St Jenks OK 74037-4135
Phone: (918) 298-5437
Fax: (918) 298-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3942 Oklahoma

Profile Details

NPI number 1710983952
LBN Legal business name Dandridge, Melinda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 10th, 2008 - about 17 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 1710983952 NPPES
Oklahoma MEDICAID 200037860A
Oklahoma MEDICAID 200037860B

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