Wiley, Clarence L
Wiley, Clarence L is an sole proprietor health care provider with primary practice located at 1211 N Shartel Ave Ste 407 , Oklahoma City OK 73103-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wiley, Clarence L can be contacted via phone (405) 278-7911.Contact Information
Primary practice address
1211 N Shartel Ave Ste 407
Oklahoma City OK 73103-2425
Phone: (405) 278-7911
Fax: (405) 278-7925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 12980 | Oklahoma |
Profile Details
| NPI number | 1477564797 |
|---|---|
| LBN Legal business name | Wiley, Clarence L |
| Credentials | M.D.,M.M.S.,F.A.A.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 4th, 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 | 1477564797 | NPPES |
| Oklahoma | Other | 243432400 | MEDICARE |
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