Hsieh, Misty Dawn

Hsieh, Misty Dawn is an individual health care provider with primary practice located at 1060 Sw 4Th St , Moore OK 73160-2494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hsieh, Misty Dawn can be contacted via phone (405) 378-5491.

Contact Information

Primary practice address
1060 Sw 4Th St Moore OK 73160-2494
Fax: (405) 378-5492
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22009 Oklahoma

Profile Details

NPI number 1548204902
LBN Legal business name Hsieh, Misty Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548204902 NPPES
Oklahoma MEDICAID 100138480

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