Koger, Heather Renee

Koger, Heather Renee is an individual health care provider with primary practice located at 27371 S 4410 Rd , Vinita OK 74301-7953. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Koger, Heather Renee can be contacted via phone (918) 256-4800.

Contact Information

Primary practice address
27371 S 4410 Rd Vinita OK 74301-7953
Phone: (918) 256-4800
Fax: (918) 256-4589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0056953 Oklahoma

Profile Details

NPI number 1861956484
LBN Legal business name Koger, Heather Renee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2019
Last updated Jan 28th, 2019 - about 5 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 1861956484 NPPES
Oklahoma Other 0056953 OKLAHOMA BOARD OF NURSING LICENSE

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