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Contact Information

RICHARD G. HENRY
112 VAL VERDE
ALTUS, OK73521
 Phone: 580-482-0441
 Fax: 580-482-0443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for RICHARD G HENRY · (Female)

NPI Number 1114192911
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2008
Last updated 08/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 4246
  • OK License # 4975
  • OK License # 6043
  • OK Other 1225377925 NPI 1 JON G. HOLMAN
  • OK Other 1487681011 NPI 1 RICHARD HENRY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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