Dautenhahn, Justine
Dautenhahn, Justine is an individual health care provider with primary practice located at 1125 N Porter Ave Suite 100, Norman OK 73071-6443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dautenhahn, Justine can be contacted via phone (405) 364-1071.Contact Information
Primary practice address
1125 N Porter Ave Suite 100
Norman OK 73071-6443
Phone: (405) 364-1071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13103 | Oklahoma |
Profile Details
| NPI number | 1790766582 |
|---|---|
| LBN Legal business name | Dautenhahn, Justine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Apr 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790766582 | NPPES |
| Oklahoma | MEDICAID | 100254070B | |
| Oklahoma | Other | 300047500 |
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