Chesnut, Shirley
Chesnut, Shirley is an individual health care provider with primary practice located at 10 S. Treaty , Miami OK 74354-5330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chesnut, Shirley can be contacted via phone (918) 542-6644.Contact Information
Primary practice address
10 S. Treaty
Miami OK 74354-5330
Phone: (918) 542-6644
Fax: (918) 542-6167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2107 | Oklahoma |
Profile Details
| NPI number | 1932293974 |
|---|---|
| LBN Legal business name | Chesnut, Shirley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 16th, 2009 - about 16 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 | 1932293974 | NPPES |
| Oklahoma | Other | 74344A010 | CHAMPUS |
| Oklahoma | MEDICAID | 100111160A | CHAMPUS |
| Oklahoma | Other | 74354A003 | CHAMPUS |
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