Hada, Jerrad

Hada, Jerrad is an individual health care provider with primary practice located at 520 Flynn St , Alva OK 73717-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hada, Jerrad can be contacted via phone (580) 327-3331.

Contact Information

Primary practice address
520 Flynn St Alva OK 73717-2240
Phone: (580) 327-3331
Fax: (580) 327-3314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 5162 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5162 Oklahoma

Profile Details

NPI number 1679922462
LBN Legal business name Hada, Jerrad
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Jul 16th, 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 1679922462 NPPES
Oklahoma MEDICAID 200693970A

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