Amigo, Therese M.B.
Amigo, Therese M.B. is an individual health care provider with primary practice located at 401 S York St Ccom Medical Group, Inc., Muskogee OK 74403-5955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Amigo, Therese M.B. can be contacted via phone (918) 683-1144.Contact Information
Primary practice address
401 S York St Ccom Medical Group, Inc.
Muskogee OK 74403-5955
Phone: (918) 683-1144
Fax: (918) 683-5316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21291 | Oklahoma |
Profile Details
| NPI number | 1235107814 |
|---|---|
| LBN Legal business name | Amigo, Therese M.B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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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