Deterding, Jeanine Dianne

Deterding, Jeanine Dianne is an individual health care provider with primary practice located at 306 Fairview Ave , Ponca City OK 74601-2001. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Deterding, Jeanine Dianne can be contacted via phone (580) 762-3342.

Contact Information

Primary practice address
306 Fairview Ave Ponca City OK 74601-2001
Phone: (580) 762-3342
Fax: (580) 762-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R0045604 Oklahoma

Profile Details

NPI number 1033117072
LBN Legal business name Deterding, Jeanine Dianne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 18 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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