Reding, Eric Lane

Reding, Eric Lane is an individual health care provider with primary practice located at 3315 Kethley Rd , Shawnee OK 74804-9638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Reding, Eric Lane can be contacted via phone (405) 273-5801.

Contact Information

Primary practice address
3315 Kethley Rd Shawnee OK 74804-9638
Fax: (405) 878-3794
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20780 Oklahoma

Profile Details

NPI number 1255386827
LBN Legal business name Reding, Eric Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255386827 NPPES
Oklahoma MEDICAID 100823850A

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