Gurley, Charles Wendell
Gurley, Charles Wendell is an sole proprietor health care provider with primary practice located at 1433 Arlington St , Ada OK 74820-2636. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gurley, Charles Wendell can be contacted via phone (580) 332-5606.Contact Information
Primary practice address
1433 Arlington St
Ada OK 74820-2636
Phone: (580) 332-5606
Fax: (580) 332-3946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1108 | Oklahoma |
Profile Details
| NPI number | 1245240217 |
|---|---|
| LBN Legal business name | Gurley, Charles Wendell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Mar 7th, 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 | 1245240217 | NPPES |
| Oklahoma | MEDICAID | 100764370A |
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