Click, Russell Craig

Click, Russell Craig is an individual health care provider with primary practice located at 3204 Medical Park Dr , Shawnee OK 74804-5014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Click, Russell Craig can be contacted via phone (405) 878-6800.

Contact Information

Primary practice address
3204 Medical Park Dr Shawnee OK 74804-5014
Phone: (405) 878-6800
Fax: (405) 878-6831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24597 Oklahoma

Profile Details

NPI number 1144397571
LBN Legal business name Click, Russell Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144397571 NPPES
Other OK400649 RAILROAD RETIREMENT FUND (RR MEDICARE
MEDICAID 200101920A RAILROAD RETIREMENT FUND (RR MEDICARE

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