Yates, Ladny Jerad

Yates, Ladny Jerad is an sole proprietor health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Yates, Ladny Jerad can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Blvd Ada OK 74820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22045 Oklahoma

Profile Details

NPI number 1679562243
LBN Legal business name Yates, Ladny Jerad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679562243 NPPES
Oklahoma MEDICAID 100132330A

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