Reust, Randall S
Reust, Randall S is an individual health care provider with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reust, Randall S can be contacted via phone (918) 456-0641.Contact Information
Primary practice address
1400 E Downing St
Tahlequah OK 74464-3324
Phone: (918) 456-0641
Fax: (918) 458-0954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3285 | Oklahoma |
Profile Details
| NPI number | 1578523189 |
|---|---|
| LBN Legal business name | Reust, Randall S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 22nd, 2024 - about last year |
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 | 1578523189 | NPPES |
| Oklahoma | MEDICAID | 100850750B |
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