Priddle, Joshua

Priddle, Joshua is an individual health care provider with primary practice located at 905 Colony Dr , Ada OK 74820-2329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Priddle, Joshua can be contacted via phone (580) 436-5111.

Contact Information

Primary practice address
905 Colony Dr Ada OK 74820-2329
Fax: (580) 436-1159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5800 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5800 Oklahoma

Profile Details

NPI number 1154736346
LBN Legal business name Priddle, Joshua
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Nov 18th, 2021 - about 3 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 1154736346 NPPES
Oklahoma Other 5800 OK STATE BOARD OF OSTEOPATHIC EXAMINERS

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