Drake, Richard L
Drake, Richard L is an individual health care provider with primary practice located at 4812 S 109Th East Ave Suite 300, Tulsa OK 74146-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Drake, Richard L can be contacted via phone (918) 392-1400.Contact Information
Primary practice address
4812 S 109Th East Ave Suite 300
Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 236-4587
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4066 | Oklahoma |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS10473 | Florida |
Profile Details
NPI number | 1336326206 |
---|---|
LBN Legal business name | Drake, Richard L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2008 |
Last updated | Feb 1st, 2017 - about 8 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 | 1336326206 | NPPES |
Oklahoma | MEDICAID | 200019710A |
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