Medina, Ricardo
Medina, Ricardo is an sole proprietor health care provider with primary practice located at 111 S Treaty Rd , Miami OK 74354-5327. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Medina, Ricardo can be contacted via phone (918) 540-1522.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1629526355 |
|---|---|
| LBN Legal business name | Medina, Ricardo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2016 |
| Last updated | Sep 14th, 2016 - 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 | 1629526355 | NPPES |
| Texas | Other | S202187064 | DRIVERS LICENSE |
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