Dewbre, Diane
Dewbre, Diane is an sole proprietor health care provider with primary practice located at 128 W Main St , Purcell OK 73080-4220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dewbre, Diane can be contacted via phone (405) 527-4704.Contact Information
Primary practice address
128 W Main St
Purcell OK 73080-4220
Phone: (405) 527-4704
Fax: (405) 427-5976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 547215 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 49456 | Oklahoma |
Profile Details
| NPI number | 1417131038 |
|---|---|
| LBN Legal business name | Dewbre, Diane |
| Credentials | GNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Sep 9th, 2015 - about 9 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 | 1417131038 | NPPES |
| Oklahoma | MEDICAID | 20053303A |
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