Anderson, William Robert

Anderson, William Robert is an sole proprietor health care provider with primary practice located at 700 N Main , Gore OK 74435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, William Robert can be contacted via phone (918) 489-5757.

Contact Information

Primary practice address
700 N Main Gore OK 74435
Fax: (918) 489-5411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2597 Oklahoma

Profile Details

NPI number 1235130709
LBN Legal business name Anderson, William Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 27th, 2011 - about 14 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 1235130709 NPPES
Oklahoma MEDICAID 100257880A
Oklahoma MEDICAID 100257880C
Oklahoma MEDICAID 100257880E

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