Charboneau, Semira
Charboneau, Semira is an individual health care provider with primary practice located at 905 Colony Dr , Ada OK 74820-2329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Charboneau, Semira can be contacted via phone (580) 436-5111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4038 | Oklahoma |
Profile Details
| NPI number | 1619975745 |
|---|---|
| LBN Legal business name | Charboneau, Semira |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Feb 22nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619975745 | NPPES |
| Oklahoma | MEDICAID | 200011300A | |
| Oklahoma | Other | P00035275 |
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