Creed, Richard Dan
Creed, Richard Dan is an sole proprietor health care provider with primary practice located at 3705 W Broadway St , Muskogee OK 74401-2142. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Creed, Richard Dan can be contacted via phone (918) 687-7530.Contact Information
Primary practice address
3705 W Broadway St
Muskogee OK 74401-2142
Phone: (918) 687-7530
Fax: (918) 687-4019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1148 | Oklahoma |
Profile Details
| NPI number | 1144325655 |
|---|---|
| LBN Legal business name | Creed, Richard Dan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1144325655 | NPPES |
| Oklahoma | MEDICAID | 100759620 A |
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