Provider Demographics
NPI:1891791406
Name:HINSHAW, STEVEN DONALD (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DONALD
Last Name:HINSHAW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WAURIKA
Mailing Address - State:OK
Mailing Address - Zip Code:73573-0150
Mailing Address - Country:US
Mailing Address - Phone:580-228-3527
Mailing Address - Fax:580-228-2578
Practice Address - Street 1:110 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:WAURIKA
Practice Address - State:OK
Practice Address - Zip Code:73573-2212
Practice Address - Country:US
Practice Address - Phone:580-228-3527
Practice Address - Fax:580-228-2578
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1104959972OtherGRP NPI
OK1104959972OtherGRP NPI