Andrews, Andrea Segue
Andrews, Andrea Segue is an individual health care provider with primary practice located at 1102 W Macarthur St , Shawnee OK 74804-1743. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Andrews, Andrea Segue can be contacted via phone (405) 878-8112.Contact Information
Primary practice address
1102 W Macarthur St
Shawnee OK 74804-1743
Phone: (405) 878-8112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101237057 | Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 26247 | Oklahoma |
Profile Details
| NPI number | 1629063409 |
|---|---|
| LBN Legal business name | Andrews, Andrea Segue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Sep 1st, 2011 - 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 | 1629063409 | NPPES |
| Oklahoma | MEDICAID | 200229670A | |
| Oklahoma | Other | P00202627 | |
| Oklahoma | MEDICAID | 1629063409 |
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