Vallandigham, John C

Vallandigham, John C is an individual health care provider with primary practice located at 304 S 29Th St , Chickasha OK 73018-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vallandigham, John C can be contacted via phone (405) 896-8058.

Contact Information

Primary practice address
304 S 29Th St Chickasha OK 73018-2501
Fax: (855) 223-1999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24142 Oklahoma

Profile Details

NPI number 1265438501
LBN Legal business name Vallandigham, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 21st, 2022 - about 3 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 1265438501 NPPES
Oklahoma MEDICAID 200002950A

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