Edwards, Coy Joe

Edwards, Coy Joe is an individual health care provider with primary practice located at 1500 E Downing St Suite 205, Tahlequah OK 74464-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, Coy Joe can be contacted via phone (918) 456-0592.

Contact Information

Primary practice address
1500 E Downing St Suite 205 Tahlequah OK 74464-3234
Phone: (918) 456-0592
Fax: (918) 456-0252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11222 Oklahoma

Profile Details

NPI number 1548201155
LBN Legal business name Edwards, Coy Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 20th, 2010 - about 16 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 1548201155 NPPES
Oklahoma Other 1548201155 MEDICARE NPI

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