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Contact Information

LUVEY DEATHERAGE, PA-C
36640 OLD HWY 270
WEWOKA, OK74884
 Phone: 405-257-6282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUVEY DEATHERAGE · (Female)

NPI # 1841798626
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/26/2018
Last updated 03/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2839
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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