Line, Rhonda Michelle
Line, Rhonda Michelle is an individual health care provider with primary practice located at 1223 Swan Dr , Bartlesville OK 74006-5037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Line, Rhonda Michelle can be contacted via phone (888) 777-9170.Contact Information
Primary practice address
1223 Swan Dr
Bartlesville OK 74006-5037
Phone: (888) 777-9170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 803 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1502098 | Kansas |
Profile Details
| NPI number | 1689666026 |
|---|---|
| LBN Legal business name | Line, Rhonda Michelle |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 15th, 2024 - about 2 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 | 1689666026 | NPPES |
| Oklahoma | MEDICAID | 200251480A | |
| Oklahoma | MEDICAID | 200878730B |
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