Shreck, Ronald Wayne
Shreck, Ronald Wayne is an sole proprietor health care provider with primary practice located at 407 E Cherokee Ave , Enid OK 73701-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shreck, Ronald Wayne can be contacted via phone (580) 242-7020.Contact Information
Primary practice address
407 E Cherokee Ave
Enid OK 73701-5814
Phone: (580) 242-7020
Fax: (580) 233-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11370 | Oklahoma |
Profile Details
| NPI number | 1326154394 |
|---|---|
| LBN Legal business name | Shreck, Ronald Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Mar 12th, 2010 - about 15 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 | 1326154394 | NPPES |
| Oklahoma | MEDICAID | 100129380A |
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