Paddack, Gary L
Paddack, Gary L is an sole proprietor health care provider with primary practice located at 902 Arlington Ctr Pmb 224, Ada OK 74820-2883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Paddack, Gary L can be contacted via phone (580) 436-2262.Contact Information
Primary practice address
902 Arlington Ctr Pmb 224
Ada OK 74820-2883
Phone: (580) 436-2262
Fax: (580) 272-0186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12905 | Oklahoma |
Profile Details
| NPI number | 1053389833 |
|---|---|
| LBN Legal business name | Paddack, Gary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jan 11th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053389833 | NPPES |
| Oklahoma | MEDICAID | 100143120B |
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