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Contact Information

ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
15951 LITTLE AXE DRIVE
NORMAN, OK73026-9001
 Phone: 405-447-0300
 Fax: 405-701-7914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY INC · (Female)

NPI # 1629227897
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2008
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 100699860A
  • OK Medicaid 100699860B
  • OK Medicaid 100699860N
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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