Parker, Bill Dan

Parker, Bill Dan is an sole proprietor health care provider with primary practice located at 1157 N York St , Muskogee OK 74403-2520. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Parker, Bill Dan can be contacted via phone (918) 683-8404.

Contact Information

Primary practice address
1157 N York St Muskogee OK 74403-2520
Fax: (918) 687-4469
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1161 Oklahoma

Profile Details

NPI number 1194745463
LBN Legal business name Parker, Bill Dan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jan 16th, 2017 - about 8 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 1194745463 NPPES
Oklahoma MEDICAID 100766150A

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