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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699055459 NPPES
Oklahoma Other 45-1779723 FEIN

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