Wilson, Richard L
Wilson, Richard L is an individual health care provider with primary practice located at 2801 Parklawn Dr Ste 303, Midwest City OK 73110-4211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Richard L can be contacted via phone (405) 733-3030.Contact Information
Primary practice address
2801 Parklawn Dr Ste 303
Midwest City OK 73110-4211
Phone: (405) 733-3030
Fax: (405) 733-3865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 14931 | Oklahoma |
Profile Details
| NPI number | 1265408793 |
|---|---|
| LBN Legal business name | Wilson, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 6th, 2012 - about 13 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 | 1265408793 | NPPES |
| Oklahoma | MEDICAID | 100107140A |
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