Dave, Deena
Dave, Deena is an individual health care provider with primary practice located at 1202 Sw 67Th Str Suite 2 And 3, Lawton OK 73505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dave, Deena can be contacted via phone (580) 250-0324.Contact Information
Primary practice address
1202 Sw 67Th Str Suite 2 And 3
Lawton OK 73505
Phone: (580) 250-0324
Fax: (580) 248-4523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14395 | Oklahoma |
Profile Details
| NPI number | 1164418356 |
|---|---|
| LBN Legal business name | Dave, Deena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jun 3rd, 2009 - about 16 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 | 1164418356 | NPPES |
| Oklahoma | MEDICAID | 100084210A |
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