Treacy, Bryan
Treacy, Bryan is an sole proprietor health care provider with primary practice located at 1035 Sw 19Th St Suite B, Moore OK 73160-2883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Treacy, Bryan can be contacted via phone (405) 793-9171.Contact Information
Primary practice address
1035 Sw 19Th St Suite B
Moore OK 73160-2883
Phone: (405) 793-9171
Fax: (405) 793-0815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 23781 | Oklahoma |
Profile Details
| NPI number | 1356339360 |
|---|---|
| LBN Legal business name | Treacy, Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 30th, 2010 - about 16 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 | 1356339360 | NPPES |
| Oklahoma | MEDICAID | 200036180A |
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