Mchenry, Teressa J

Mchenry, Teressa J is an individual health care provider with primary practice located at 2605 W Main St , Jenks OK 74037-3429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mchenry, Teressa J can be contacted via phone (918) 298-2336.

Contact Information

Primary practice address
2605 W Main St Jenks OK 74037-3429
Fax: (918) 298-2337
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18656 Oklahoma

Profile Details

NPI number 1538195292
LBN Legal business name Mchenry, Teressa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 16th, 2015 - about 10 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 1538195292 NPPES
Oklahoma MEDICAID 100218940A

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