Bachenberg, Earl Udo
Bachenberg, Earl Udo is an sole proprietor health care provider with primary practice located at 1844 E 15Th St , Tulsa OK 74104-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bachenberg, Earl Udo can be contacted via phone (918) 749-7177.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1497 | Oklahoma |
Profile Details
| NPI number | 1497713671 |
|---|---|
| LBN Legal business name | Bachenberg, Earl Udo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Sep 29th, 2008 - about 16 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 | 1497713671 | NPPES |
| Oklahoma | MEDICAID | 100018180B |
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