Rader, Paul Edward
Rader, Paul Edward is an sole proprietor health care provider with primary practice located at 217 N Water Ave , Tahlequah OK 74464-2825. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rader, Paul Edward can be contacted via phone (918) 456-3521.Contact Information
Primary practice address
217 N Water Ave
Tahlequah OK 74464-2825
Phone: (918) 456-3521
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4318 | Oklahoma |
Profile Details
| NPI number | 1316979040 |
|---|---|
| LBN Legal business name | Rader, Paul Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1316979040 | NPPES |
| Oklahoma | Other | 4318 | DENTAL LICENSE |
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