Wilson, Ryan D

Wilson, Ryan D is an individual health care provider with primary practice located at 800 24Th Ave , Norman OK 73069. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Wilson, Ryan D can be contacted via phone (405) 321-7100.

Contact Information

Primary practice address
800 24Th Ave Norman OK 73069
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4123 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4123 Oklahoma

Profile Details

NPI number 1922094184
LBN Legal business name Wilson, Ryan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 6th, 2022 - about 2 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 1922094184 NPPES
Oklahoma MEDICAID 200022310A

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