Dodd, Maryellen Leann
Dodd, Maryellen Leann is an sole proprietor health care provider with primary practice located at 6406 N Santa Fe Ave Ste A , Oklahoma City OK 73116-9117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dodd, Maryellen Leann can be contacted via phone (405) 840-3793.Contact Information
Primary practice address
6406 N Santa Fe Ave Ste A
Oklahoma City OK 73116-9117
Phone: (405) 840-3793
Fax: (405) 840-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24368 | Oklahoma |
Profile Details
| NPI number | 1831176916 |
|---|---|
| LBN Legal business name | Dodd, Maryellen Leann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 15th, 2022 - about 4 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 | 1831176916 | NPPES |
| Oklahoma | MEDICAID | 200081020A | |
| Oklahoma | MEDICAID | 054978900 |
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