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
Phone: (918) 489-5757
Fax: (918) 489-5411
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235130709 | NPPES |
| Oklahoma | MEDICAID | 100257880A | |
| Oklahoma | MEDICAID | 100257880C | |
| Oklahoma | MEDICAID | 100257880E |
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