Shannon Suzann Cagg

Individual provider Active NPI Case Manager/Care Coordinator · Thomas, OK

NPI 1669777918 · NPPES record last updated Jan 18, 2011

Key facts

NPI
1669777918
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
700 N Oklahoma St
Thomas, OK 73669-8137
Phone
(580) 661-2812
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

700 N Oklahoma St
Thomas, OK 73669-8137

Mailing address

PO Box 72
Thomas, OK 73669-0072
Phone (580) 302-2661

Other providers in Thomas, OK

All providers in Thomas, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.