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Contact Information

AUBREY J HENSHAW III
201 S OAK ST
SALLISAW, OK74955-6209
 Phone: 918-775-4431
 Fax: 918-775-4432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AUBREY J HENSHAW III

NPI Number 1124293782
LBN Legal business name AUBREY J HENSHAW III
Authorized official AUBREY HENSHAW - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2008
Last updated 04/24/2008 - About 18 years ago
Identifiers
OK License # 75227
OK Medicaid 100132280B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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