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Contact Information

CHAD S EDMINSTEN, ATC, PA-C
3400 W TECUMSEH RD STE 101
NORMAN, OK73072-1810
 Phone: 405-360-6764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHAD S EDMINSTEN · (Male)

NPI # 1790986826
Status Active
Credentials ATC, PA-C
Entity Individual
Enumeration date 05/29/2007
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2464
  • OK License # AT233
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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