Miner, Alisha Renee
Miner, Alisha Renee is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Miner, Alisha Renee can be contacted via phone (580) 379-5000.Contact Information
Primary practice address
1200 E Pecan St
Altus OK 73521-6192
Phone: (580) 379-5000
Fax: (580) 379-5509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 6222 | Oklahoma |
Profile Details
| NPI number | 1053761551 |
|---|---|
| LBN Legal business name | Miner, Alisha Renee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2016 |
| Last updated | Nov 21st, 2023 - about 3 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 | 1053761551 | NPPES |
| Oklahoma | MEDICAID | 200724010A |
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