Linse, Debora Lynn

Linse, Debora Lynn is an individual health care provider with primary practice located at 4221 S Western Ave Ste 1045 , Oklahoma City OK 73109-3492. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Pharmacy Service Providers / Pharmacist. Dental Providers / Dental Hygienist is her primary health care specialty. Linse, Debora Lynn can be contacted via phone (405) 644-5128.

Contact Information

Primary practice address
4221 S Western Ave Ste 1045 Oklahoma City OK 73109-3492
Phone: (405) 644-5128
Fax: (405) 644-5129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1259 Oklahoma
Pharmacy Service Providers / Pharmacist 183500000X 11860 Oklahoma

Profile Details

NPI number 1871714782
LBN Legal business name Linse, Debora Lynn
Credentials RDH, DPH, CACP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 19 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 1871714782 NPPES
Oklahoma Other 0285-LAS-1205 ANTICOAGULATION PROVIDER

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