Chesnut, Shirley

Chesnut, Shirley is an individual health care provider with primary practice located at 10 S. Treaty , Miami OK 74354-5330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chesnut, Shirley can be contacted via phone (918) 542-6644.

Contact Information

Primary practice address
10 S. Treaty Miami OK 74354-5330
Phone: (918) 542-6644
Fax: (918) 542-6167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2107 Oklahoma

Profile Details

NPI number 1932293974
LBN Legal business name Chesnut, Shirley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932293974 NPPES
Oklahoma Other 74344A010 CHAMPUS
Oklahoma MEDICAID 100111160A CHAMPUS
Oklahoma Other 74354A003 CHAMPUS

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