Heinlen, Latisha Dawn
Heinlen, Latisha Dawn is an sole proprietor health care provider with primary practice located at 6516 N Olie Ave Ste G , Oklahoma City OK 73116-7399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Heinlen, Latisha Dawn can be contacted via phone (405) 608-8060.Contact Information
Primary practice address
6516 N Olie Ave Ste G
Oklahoma City OK 73116-7399
Phone: (405) 608-8060
Fax: (405) 608-8070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 26317 | Oklahoma |
Profile Details
| NPI number | 1649430810 |
|---|---|
| LBN Legal business name | Heinlen, Latisha Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1649430810 | NPPES |
| Oklahoma | Other | 26317 | STATE MEDICAL LICENSE |
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