Shires, Ernestine Carol

Shires, Ernestine Carol is an individual health care provider with primary practice located at 3815 S Boulevard , Edmond OK 73013-5479. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shires, Ernestine Carol can be contacted via phone (405) 330-7000.

Contact Information

Primary practice address
3815 S Boulevard Edmond OK 73013-5479
Phone: (405) 330-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16913 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16913 Oklahoma

Profile Details

NPI number 1588923130
LBN Legal business name Shires, Ernestine Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Sep 14th, 2023 - about last year

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 1588923130 NPPES
Oklahoma MEDICAID 100103000A

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