Hyde, Pamela J

Hyde, Pamela J is an individual health care provider with primary practice located at 101 S Park Ln , Altus OK 73521-5731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hyde, Pamela J can be contacted via phone (580) 379-6140.

Contact Information

Primary practice address
101 S Park Ln Altus OK 73521-5731
Fax: (580) 379-6149
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 3823 Oklahoma

Profile Details

NPI number 1295733632
LBN Legal business name Hyde, Pamela J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 4th, 2013 - about 11 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 1295733632 NPPES
Oklahoma MEDICAID 100029910A

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