Mayes, Dorothy Ann
Mayes, Dorothy Ann is an individual health care provider with primary practice located at 1121 Neo Loop , Grove OK 74344-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mayes, Dorothy Ann can be contacted via phone (918) 786-8448.Contact Information
Primary practice address
1121 Neo Loop
Grove OK 74344-0000
Phone: (918) 786-8448
Fax: (918) 786-3483
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0041036 | Oklahoma |
Profile Details
NPI number | 1093786840 |
---|---|
LBN Legal business name | Mayes, Dorothy Ann |
Credentials | ARNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Sep 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093786840 | NPPES |
Oklahoma | MEDICAID | 100222320C |
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