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Contact Information

TERESA COON
1921 STONECIPHER BLVD
ADA, OK74820
 Phone: 580-421-4570
 Fax: 580-421-6261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TERESA COON · (Female)

NPI # 1497886642
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1612
Hospital affiliation(s)
  • CHICKASAW NATION MEDICAL CENTER - (Acute Care)
    1921 STONECIPHER BLVD
    ADA, OK 74820
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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