Hetrick, Charles W

Hetrick, Charles W is an individual health care provider with primary practice located at 218 E 10Th Street Plz , Edmond OK 73034-4737. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hetrick, Charles W can be contacted via phone (405) 341-7046.

Contact Information

Primary practice address
218 E 10Th Street Plz Edmond OK 73034-4737
Phone: (405) 341-7046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4032 Oklahoma

Profile Details

NPI number 1487861530
LBN Legal business name Hetrick, Charles W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jan 11th, 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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