Defrange, Alisha Miranda

Defrange, Alisha Miranda is an sole proprietor health care provider with primary practice located at 706 South Greathouse Drive , Atoka OK 74525. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Defrange, Alisha Miranda can be contacted via phone (580) 889-3424.

Contact Information

Primary practice address
706 South Greathouse Drive Atoka OK 74525
Phone: (580) 889-3424
Fax: (580) 889-4050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oklahoma
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma

Profile Details

NPI number 1578944203
LBN Legal business name Defrange, Alisha Miranda
Credentials BHCM II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated May 10th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578944203 NPPES
Oklahoma MEDICAID 73-1311206

Popular Providers