Miller, Shawn Scarberry
Miller, Shawn Scarberry is an individual health care provider with primary practice located at 19600 E Ross St , Tahlequah OK 74464-0545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Shawn Scarberry can be contacted via phone (539) 234-4100.Contact Information
Primary practice address
19600 E Ross St
Tahlequah OK 74464-0545
Phone: (539) 234-4100
Fax: (539) 234-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1452 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35863 | Oklahoma |
Profile Details
| NPI number | 1083670566 |
|---|---|
| LBN Legal business name | Miller, Shawn Scarberry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 15th, 2020 - about 4 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 | 1083670566 | NPPES |
| Arkansas | MEDICAID | 132969001 | |
| Arkansas | Other | 5K620 |
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