Cordry, Vincel Ray

Cordry, Vincel Ray is an individual health care provider with primary practice located at 4400 N Lincoln Blvd , Oklahoma City OK 73105-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cordry, Vincel Ray can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
4400 N Lincoln Blvd Oklahoma City OK 73105-5104
Fax: (405) 419-3042
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1753 Oklahoma

Profile Details

NPI number 1750359311
LBN Legal business name Cordry, Vincel Ray
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750359311 NPPES
Oklahoma MEDICAID 100134520E
Oklahoma MEDICAID 100134520F

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