White, Allissa Marie
White, Allissa Marie is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. White, Allissa Marie can be contacted via phone (580) 379-6700.Contact Information
Primary practice address
205 S Park Ln
Altus OK 73521-5755
Phone: (580) 379-6700
Fax: (580) 379-6704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34797 | Oklahoma |
Profile Details
| NPI number | 1043877756 |
|---|---|
| LBN Legal business name | White, Allissa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2019 |
| Last updated | Oct 30th, 2025 - about last year |
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 | 1043877756 | NPPES |
| Oklahoma | MEDICAID | 200992670B |
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