Dedeke, Eric M
Dedeke, Eric M is an individual health care provider with primary practice located at 10914 Hefner Pointe Dr Ste 202 , Oklahoma City OK 73120-5071. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dedeke, Eric M can be contacted via phone (405) 815-6840.Contact Information
Primary practice address
10914 Hefner Pointe Dr Ste 202
Oklahoma City OK 73120-5071
Phone: (405) 815-6840
Fax: (405) 815-6839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24455 | Oklahoma |
| Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | 24455 | Oklahoma |
Profile Details
| NPI number | 1922046960 |
|---|---|
| LBN Legal business name | Dedeke, Eric M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1922046960 | NPPES |
| Oklahoma | MEDICAID | 200065740A |
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