Tallerico, Daniel Louis

Tallerico, Daniel Louis is an individual health care provider with primary practice located at 4833 Integris Pkwy Suite 200, Edmond OK 73034-8864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tallerico, Daniel Louis can be contacted via phone (405) 657-3950.

Contact Information

Primary practice address
4833 Integris Pkwy Suite 200 Edmond OK 73034-8864
Phone: (405) 657-3950
Fax: (405) 471-0040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10585 Oklahoma

Profile Details

NPI number 1568443638
LBN Legal business name Tallerico, Daniel Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 8th, 2016 - about 10 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 1568443638 NPPES
Oklahoma MEDICAID 100163700A

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