Vaclaw, Michael Ryan

Vaclaw, Michael Ryan is an individual health care provider with primary practice located at 4150 Se Adams Rd , Bartlesville OK 74104-8410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vaclaw, Michael Ryan can be contacted via phone (918) 331-9979.

Contact Information

Primary practice address
4150 Se Adams Rd Bartlesville OK 74104-8410
Phone: (918) 331-9979
Fax: (918) 331-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19519 Oklahoma

Profile Details

NPI number 1942295308
LBN Legal business name Vaclaw, Michael Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 29th, 2010 - about 14 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 1942295308 NPPES
Oklahoma MEDICAID 100255000A
Oklahoma MEDICAID 100230530A

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