La Fuente, Henry
La Fuente, Henry is an individual health care provider with primary practice located at 1116 N Robinson Ave , Oklahoma City OK 73103-4918. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Eye and Vision Services Providers / Ocularist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist. Eye and Vision Services Providers / Ocularist is his primary health care specialty. La Fuente, Henry can be contacted via phone (405) 236-2882.Contact Information
Primary practice address
1116 N Robinson Ave
Oklahoma City OK 73103-4918
Phone: (405) 236-2882
Fax: (405) 236-3335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | ||
| Eye and Vision Services Providers / Ocularist | 156FX1700X | 331034873 | Oklahoma |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | 331034873 | Oklahoma |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist | 229N00000X |
Profile Details
| NPI number | 1679520423 |
|---|---|
| LBN Legal business name | La Fuente, Henry |
| Credentials | BCO, BADO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 2nd, 2012 - about 12 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 | 1679520423 | NPPES |
| Oklahoma | Other | 331034873 | TAX ID |
| Oklahoma | Other | 1811194368 | TAX ID |
| Oklahoma | MEDICAID | 100807050A | TAX ID |
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