Vallandigham, John C
Vallandigham, John C is an individual health care provider with primary practice located at 304 S 29Th St , Chickasha OK 73018-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vallandigham, John C can be contacted via phone (405) 896-8058.Contact Information
Primary practice address
304 S 29Th St
Chickasha OK 73018-2501
Phone: (405) 896-8058
Fax: (855) 223-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24142 | Oklahoma |
Profile Details
| NPI number | 1265438501 |
|---|---|
| LBN Legal business name | Vallandigham, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 21st, 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 | 1265438501 | NPPES |
| Oklahoma | MEDICAID | 200002950A |
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