Deshazo, Phyllis R
Deshazo, Phyllis R is an individual health care provider with primary practice located at 409 E California Ave , Oklahoma City OK 73104-4224. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Deshazo, Phyllis R can be contacted via phone (405) 841-7826.Contact Information
Primary practice address
409 E California Ave
Oklahoma City OK 73104-4224
Phone: (405) 841-7826
Fax: (405) 841-7827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | 466 | Oklahoma |
Profile Details
| NPI number | 1689077612 |
|---|---|
| LBN Legal business name | Deshazo, Phyllis R |
| Credentials | REEGT, CNIM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2014 |
| Last updated | Oct 5th, 2014 - about 10 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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