Mrs Elise Rose Cooper-horne, RD,LD | |
301 S. Jt Stites, Sallisaw, OK 74955 | |
(918) 775-9150 | |
Not Available |
Full Name | Mrs Elise Rose Cooper-horne |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 301 S. Jt Stites, Sallisaw, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093800252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 551 (Arkansas) | Primary |
Provider Name | Adair County Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972780765 PECOS PAC ID: 9638065907 Enrollment ID: O20040224000664 |
Mailing Address | Practice Location Address |
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Mrs Elise Rose Cooper-horne, RD,LD 473425 E 1127 Rd, Muldrow, OK 74948 Ph: (918) 427-7525 | Mrs Elise Rose Cooper-horne, RD,LD 301 S. Jt Stites, Sallisaw, OK 74955 Ph: (918) 775-9150 |
Mrs. Cheryl Gaines Johnson, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-774-1490 Fax: 918-774-1425 | |
Jennifer Rachelle Holman, RD/LD-CDE Dietitian Medicare: Medicare Enrolled Practice Location: 408 S Cherry St, Sallisaw, OK 74955 Phone: 918-774-5074 | |
Mrs. Natalie Elise Russell, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-774-1481 | |
Mrs. Tabitha Joanne Ford, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-774-1492 Fax: 918-774-1425 |