Edwards, Coy Joe
Edwards, Coy Joe is an individual health care provider with primary practice located at 1500 E Downing St Suite 205, Tahlequah OK 74464-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, Coy Joe can be contacted via phone (918) 456-0592.Contact Information
Primary practice address
1500 E Downing St Suite 205
Tahlequah OK 74464-3234
Phone: (918) 456-0592
Fax: (918) 456-0252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11222 | Oklahoma |
Profile Details
| NPI number | 1548201155 |
|---|---|
| LBN Legal business name | Edwards, Coy Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 20th, 2010 - about 15 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 | 1548201155 | NPPES |
| Oklahoma | Other | 1548201155 | MEDICARE NPI |
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