Conrady, Rickie
Conrady, Rickie is an individual health care provider with primary practice located at 225 Lilac Dr Ste 200 , Edmond OK 73034-7287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Conrady, Rickie can be contacted via phone (405) 330-7000.Contact Information
Primary practice address
225 Lilac Dr Ste 200
Edmond OK 73034-7287
Phone: (405) 330-7000
Fax: (405) 280-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 14650 | Oklahoma |
Profile Details
| NPI number | 1316913510 |
|---|---|
| LBN Legal business name | Conrady, Rickie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Nov 20th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316913510 | NPPES |
| Oklahoma | MEDICAID | 10015790A |
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