Amigo, Therese M.B.

Amigo, Therese M.B. is an individual health care provider with primary practice located at 401 S York St Ccom Medical Group, Inc., Muskogee OK 74403-5955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Amigo, Therese M.B. can be contacted via phone (918) 683-1144.

Contact Information

Primary practice address
401 S York St Ccom Medical Group, Inc. Muskogee OK 74403-5955
Phone: (918) 683-1144
Fax: (918) 683-5316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21291 Oklahoma

Profile Details

NPI number 1235107814
LBN Legal business name Amigo, Therese M.B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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