Rody, Preston
Rody, Preston is an individual health care provider with primary practice located at 17861 Prairie Sky Way , Edmond OK 73012-6628. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Rody, Preston can be contacted via phone (405) 318-9066.Contact Information
Primary practice address
17861 Prairie Sky Way
Edmond OK 73012-6628
Phone: (405) 318-9066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1225656309 |
|---|---|
| LBN Legal business name | Rody, Preston |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Jul 6th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225656309 | NPPES |
| Oklahoma | MEDICAID | B14389192 |
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