Waddell, Robert Luther
Waddell, Robert Luther is an individual health care provider with primary practice located at 435 N Monte Vista , Ada OK 74820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Waddell, Robert Luther can be contacted via phone (580) 310-0102.Contact Information
Primary practice address
435 N Monte Vista
Ada OK 74820
Phone: (580) 310-0102
Fax: (580) 310-0104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20345 | Oklahoma |
Profile Details
| NPI number | 1750485058 |
|---|---|
| LBN Legal business name | Waddell, Robert Luther |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Oct 27th, 2014 - about 10 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 | 1750485058 | NPPES |
| Oklahoma | MEDICAID | 10015510A |
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