Howard, Derek G

Howard, Derek G is an individual health care provider with primary practice located at 1023 15Th Ave Nw , Ardmore OK 73401-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Howard, Derek G can be contacted via phone (580) 223-7844.

Contact Information

Primary practice address
1023 15Th Ave Nw Ardmore OK 73401-1810
Fax: (580) 223-6285
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3466 Oklahoma

Profile Details

NPI number 1790880219
LBN Legal business name Howard, Derek G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790880219 NPPES
Oklahoma MEDICAID 100153330A

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