Herren, Richenda Dawn

Herren, Richenda Dawn is an individual health care provider with primary practice located at 2 E Clark Bass Blvd Suite 301, Mcalester OK 74501-4282. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Herren, Richenda Dawn can be contacted via phone (918) 421-6846.

Contact Information

Primary practice address
2 E Clark Bass Blvd Suite 301 Mcalester OK 74501-4282
Phone: (918) 421-6846
Fax: (918) 421-6875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31002 Oklahoma

Profile Details

NPI number 1164407995
LBN Legal business name Herren, Richenda Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 24th, 2015 - about 11 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 1164407995 NPPES
Oklahoma MEDICAID 200568320A
Oklahoma MEDICAID 100168240B

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