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Contact Information

ELISE R COOPER HORNE, RD,LD
301 S. JT STITES
SALLISAW, OK74955
 Phone: 918-775-9150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ELISE R COOPER HORNE · (Female)

NPI Number 1093800252
Status Active
Credentials RD,LD
Entity Individual
Enumeration date 10/04/2006
Last updated 01/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 551
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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