CHARLES LEON DICK JR.


Address: 711 N East Ave, Apt E6, Tahlequah, OK 74464-2407
Phone: 9185064007

CHARLES LEON DICK JR. (NPI# 1003249392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003249392
Entity Type Individual
Full Name CHARLES LEON DICK JR.
Credential BS
Practice Address 711 N East Ave
Apt E6
Tahlequah
OK 74464-2407
Practice Telephone 9185064007
Mailing Telephone 9185064007
Enumeration Date 2013-08-09
Last Update Date 2016-04-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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Office Location

Street Address 711 N EAST AVE
APT E6
City TAHLEQUAH
State OK
Zip Code 74464-2407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
Find all providers in zip 74464

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1790309938 Bryan John Butel Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, OK 74464-3324 2020-06-03
1932723277 Xuanchinh Tran Student in an Organized Health Care Education/Training Program 1373 E Boone St Ste 2300, Tahlequah, OK 74464-3365 2020-06-02
1952930257 Athena Chatzigiannidis Student in an Organized Health Care Education/Training Program 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-04-07
1942839394 Sean Crawford Student in an Organized Health Care Education/Training Program 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-04-07
1205463767 Rahim Ruknudin Sewani Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, OK 74464-3324 2020-03-25
1104468610 Lista Marie Watkins Student in an Organized Health Care Education/Training Program 1500 E Downing St Ste 214, Tahlequah, OK 74464-3379 2019-10-16
1811553761 Kate Allen Student in an Organized Health Care Education/Training Program 1373 E Boone St Ste 2300, Tahlequah, OK 74464-3365 2019-05-16
1154985869 David Ryan Markes Student in an Organized Health Care Education/Training Program 100 S Bliss Ave, Tahlequah, OK 74464-2512 2019-04-28
Find all providers in TAHLEQUAH

Competitor

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City TAHLEQUAH
Zip Code 74464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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