Deloache, Christopher S

Deloache, Christopher S is an individual health care provider with primary practice located at 1373 E. Boone St. Suite 3401, Tahlequah OK 74464-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Deloache, Christopher S can be contacted via phone (918) 456-6848.

Contact Information

Primary practice address
1373 E. Boone St. Suite 3401 Tahlequah OK 74464-3234
Phone: (918) 456-6848
Fax: (918) 456-1150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3349 Oklahoma

Profile Details

NPI number 1104832179
LBN Legal business name Deloache, Christopher S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Sep 12th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104832179 NPPES
Oklahoma MEDICAID 100256650B

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