Hannah, Phyllis Decarnelle

Hannah, Phyllis Decarnelle is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hannah, Phyllis Decarnelle can be contacted via phone (580) 436-3980.

Contact Information

Primary practice address
1921 Stonecipher Dr Ada OK 74820-3439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MO - 10627 Missouri

Profile Details

NPI number 1740259407
LBN Legal business name Hannah, Phyllis Decarnelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 21st, 2022 - about 3 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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