Whitten, Dennis Dale

Whitten, Dennis Dale is an individual health care provider with primary practice located at 104 N.E. Avenue A , Idabel OK 74745. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Whitten, Dennis Dale can be contacted via phone (580) 212-9175.

Contact Information

Primary practice address
104 N.E. Avenue A Idabel OK 74745
Phone: (580) 212-9175
Fax: (580) 286-6385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 72 Oklahoma

Profile Details

NPI number 1184743502
LBN Legal business name Whitten, Dennis Dale
Credentials MACJ, LADC, ICAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 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 1184743502 NPPES
Oklahoma Other 0955461203 CAADC
Oklahoma Other 685 CAADC
Oklahoma Other 72 CAADC

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