Stewart, Dick J

Stewart, Dick J is an individual health care provider with primary practice located at 11704 S Western Ave , Oklahoma City OK 73170-5830. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stewart, Dick J can be contacted via phone (405) 692-5205.

Contact Information

Primary practice address
11704 S Western Ave Oklahoma City OK 73170-5830
Phone: (405) 692-5205
Fax: (405) 692-5210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1040 Oklahoma

Profile Details

NPI number 1437144649
LBN Legal business name Stewart, Dick J
Credentials B.S., P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 12th, 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 1437144649 NPPES
Oklahoma MEDICAID 100849480B

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