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Contact Information

JANET L PLAXICO, PA
1201 E. ROSS BYPASS ROAD
TAHLEQUAH, OK74464
 Phone: 918-207-0991
 Fax: 918-456-7570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JANET L PLAXICO · (Female)

NPI # 1194759134
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/10/2006
Last updated 05/12/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 772
  • OK License # PA772
  • OK Medicaid 100094770A
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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