Provider Demographics
NPI:1043826894
Name:HORSECHIEF, EDWINA R
Entity Type:Individual
Prefix:
First Name:EDWINA
Middle Name:R
Last Name:HORSECHIEF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-0729
Mailing Address - Country:US
Mailing Address - Phone:405-247-2428
Mailing Address - Fax:
Practice Address - Street 1:423 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-2111
Practice Address - Country:US
Practice Address - Phone:405-247-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist