Practitioner & Office
Practitioner Name
Loren Earley
Office Name
Holisticka Health & Wellness LLC
Practice ID
OTS33520037061843
EIN
Add EIN
Group NPI
Add Group NPI
Office Email
lorenearley23@gmail.com
Phone No
(580) 399-9090
Address
242 Duke St, Ardmore OK 73401
Compliance & Certificates
Manage DocsFCC.GOV Certificate
OSHA & HIPAA Certificates
OpenTelemed Cert
OIG Compliance Plan Writing and Certification
HIPAA IT Setup
HRSA HHS Certificate
SAM.GOV UEI Certificate
Agreement Copy
Malpractice Insurance
Patient Forms
Business Website
Collaborative Physician
Billing Contractor
Billing Contractor 1099 NEC
Fees Paid by OpenTelemed
Total Patients
0
Loading...
Total OON Credit
$0
All patients
Available Credit
$0
Unspent
Used Credit
$0
Spent
Patients
| Patient Name | Patient Source | Assigned ID | Phone No | Address | Total OON Credit | Available Credit | Last eVisit | Medical Hx | Assigned Date |
|---|