Perez, Dante
Perez, Dante is an sole proprietor health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Perez, Dante can be contacted via phone (918) 458-3120.Contact Information
Primary practice address
100 S Bliss Ave
Tahlequah OK 74464-2512
Phone: (918) 458-3120
Fax: (918) 458-3279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19710 | Oklahoma |
Profile Details
| NPI number | 1689856254 |
|---|---|
| LBN Legal business name | Perez, Dante |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Dec 5th, 2007 - about 18 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 | 1689856254 | NPPES |
| Alaska | MEDICAID | 150301001 | |
| Alaska | Other | 100220460A |
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