Lewis, Samuel Grady

Lewis, Samuel Grady is an individual health care provider with primary practice located at 308 Fairview Ave , Ponca City OK 74601-2001. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Lewis, Samuel Grady can be contacted via phone (580) 765-9588.

Contact Information

Primary practice address
308 Fairview Ave Ponca City OK 74601-2001
Phone: (580) 765-9588
Fax: (580) 762-1367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X

Profile Details

NPI number 1376735415
LBN Legal business name Lewis, Samuel Grady
Credentials RTR,RPA,RA,CBRPA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Aug 13th, 2007 - about 17 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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