Dandridge, Melinda
Dandridge, Melinda is an individual health care provider with primary practice located at 410 E Main St , Jenks OK 74037-4135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dandridge, Melinda can be contacted via phone (918) 298-5437.Contact Information
Primary practice address
410 E Main St
Jenks OK 74037-4135
Phone: (918) 298-5437
Fax: (918) 298-5438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3942 | Oklahoma |
Profile Details
| NPI number | 1710983952 |
|---|---|
| LBN Legal business name | Dandridge, Melinda |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 10th, 2008 - 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 | 1710983952 | NPPES |
| Oklahoma | MEDICAID | 200037860A | |
| Oklahoma | MEDICAID | 200037860B |
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