Dean, Terry Lynn

Dean, Terry Lynn is an individual health care provider with primary practice located at 17675 S Muskogee Ave , Tahlequah OK 74464-5492. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Dean, Terry Lynn can be contacted via phone (918) 453-5387.

Contact Information

Primary practice address
17675 S Muskogee Ave Tahlequah OK 74464-5492
Phone: (918) 453-5387
Fax: (918) 458-6159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17917 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X R2G69 Missouri

Profile Details

NPI number 1730165820
LBN Legal business name Dean, Terry Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1730165820 NPPES
Oklahoma MEDICAID 1117917

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