Shaw, Richard Anthony
Shaw, Richard Anthony is an sole proprietor health care provider with primary practice located at 214 Sw 30Th St , Oklahoma City OK 73109-6506. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Shaw, Richard Anthony can be contacted via phone (405) 272-1610.Contact Information
Primary practice address
214 Sw 30Th St
Oklahoma City OK 73109-6506
Phone: (405) 272-1610
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Health Educator | 174H00000X | 2N96-341-0804 | California |
Profile Details
NPI number | 1699055459 |
---|---|
LBN Legal business name | Shaw, Richard Anthony |
Credentials | CAMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2011 |
Last updated | Aug 25th, 2011 - about 14 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 | 1699055459 | NPPES |
Oklahoma | Other | 45-1779723 | FEIN |
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