Miller, Shawn Scarberry

Miller, Shawn Scarberry is an individual health care provider with primary practice located at 19600 E Ross St , Tahlequah OK 74464-0545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Shawn Scarberry can be contacted via phone (539) 234-4100.

Contact Information

Primary practice address
19600 E Ross St Tahlequah OK 74464-0545
Phone: (539) 234-4100
Fax: (539) 234-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E1452 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35863 Oklahoma

Profile Details

NPI number 1083670566
LBN Legal business name Miller, Shawn Scarberry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 15th, 2020 - about 6 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 1083670566 NPPES
Arkansas MEDICAID 132969001
Arkansas Other 5K620

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