Shreck, Garrick Lee

Shreck, Garrick Lee is an individual health care provider with primary practice located at 1921 W 6Th Ave Ste A , Stillwater OK 74074-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shreck, Garrick Lee can be contacted via phone (405) 533-2433.

Contact Information

Primary practice address
1921 W 6Th Ave Ste A Stillwater OK 74074-4204
Fax: (833) 623-1821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3786 Oklahoma

Profile Details

NPI number 1043205651
LBN Legal business name Shreck, Garrick Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 11th, 2023 - about 2 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 1043205651 NPPES
Oklahoma MEDICAID 100107920B

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