Traczyk, Richard Joseph

Traczyk, Richard Joseph is an sole proprietor health care provider with primary practice located at 13921 N. Meridian Avenue Suite 203, Oklahoma City OK 73134-1104. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Traczyk, Richard Joseph can be contacted via phone (405) 755-7600.

Contact Information

Primary practice address
13921 N. Meridian Avenue Suite 203 Oklahoma City OK 73134-1104
Phone: (405) 755-7600
Fax: (405) 755-7680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 194 Oklahoma
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 194 Oklahoma

Profile Details

NPI number 1609869494
LBN Legal business name Traczyk, Richard Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Apr 3rd, 2023 - about last year

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 1609869494 NPPES
Oklahoma MEDICAID 100780360B

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