National Provider Identifier Database

CHOCTAW NATION OF OKLAHOMA
Ambulatory Surgical


Contact Information

CHOCTAW NATION OF OKLAHOMA
1801 CHUKKA HINA
DURANT, OK74701-3085
Phone: 580-920-2100
Fax: 580-924-7215
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X
Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for CHOCTAW NATION OF OKLAHOMA

NPI Number 1306384821
Legal business name
LBN
CHOCTAW NATION OF OKLAHOMA
Authorized official TERESA JACKSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/03/2017
Last updated 01/16/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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