Richard, Jean Gabriel

Richard, Jean Gabriel is an individual health care provider with primary practice located at 200 2Nd Ave Sw , Miami OK 74354-6830. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Richard, Jean Gabriel can be contacted via phone (918) 540-7520.

Contact Information

Primary practice address
200 2Nd Ave Sw Miami OK 74354-6830
Phone: (918) 540-7520
Fax: (918) 540-7533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 98467 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 674661 Texas

Profile Details

NPI number 1295712420
LBN Legal business name Richard, Jean Gabriel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 16th, 2019 - about 5 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 1295712420 NPPES
Texas MEDICAID 166648902

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