Shockley, Dylan

Shockley, Dylan is an sole proprietor health care provider with primary practice located at 1125 N Porter Ave Ste 301 , Norman OK 73071-6443. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Shockley, Dylan can be contacted via phone (405) 503-0366.

Contact Information

Primary practice address
1125 N Porter Ave Ste 301 Norman OK 73071-6443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 113527 Oklahoma

Profile Details

NPI number 1588295836
LBN Legal business name Shockley, Dylan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2020
Last updated Jan 27th, 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.

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