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
Phone: (405) 533-2433
Fax: (833) 623-1821
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043205651 | NPPES |
Oklahoma | MEDICAID | 100107920B |
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