Ahlefeld, Dorsa Dianne

Ahlefeld, Dorsa Dianne is an individual health care provider with primary practice located at 1200 Childrens Ave Suite 7D, Oklahoma City OK 73104-4637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ahlefeld, Dorsa Dianne can be contacted via phone (405) 271-3800.

Contact Information

Primary practice address
1200 Childrens Ave Suite 7D Oklahoma City OK 73104-4637
Phone: (405) 271-3800
Fax: (405) 271-3399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0078915 Oklahoma

Profile Details

NPI number 1427246008
LBN Legal business name Ahlefeld, Dorsa Dianne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jun 24th, 2015 - 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 1427246008 NPPES
Oklahoma MEDICAID 200208950A

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