Hunter, Elissa J

Hunter, Elissa J is an individual health care provider with primary practice located at 110 Nw 31St St 3Rd Floor, Lawton OK 73505-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hunter, Elissa J can be contacted via phone (580) 510-7042.

Contact Information

Primary practice address
110 Nw 31St St 3Rd Floor Lawton OK 73505-6100
Phone: (580) 510-7042
Fax: (580) 510-7044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22510 Oklahoma

Profile Details

NPI number 1528054822
LBN Legal business name Hunter, Elissa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 13th, 2009 - about 17 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 1528054822 NPPES
Other 020053163 RAILROAD MEDICARE
Other 7648345 RAILROAD MEDICARE
Other 347459110 RAILROAD MEDICARE
MEDICAID 100097930A RAILROAD MEDICARE

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