Bottem, Lee Theodore
Bottem, Lee Theodore is an sole proprietor health care provider with primary practice located at 4700 W Urbana St , Broken Arrow OK 74012-5997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bottem, Lee Theodore can be contacted via phone (918) 290-2300.Contact Information
Primary practice address
4700 W Urbana St
Broken Arrow OK 74012-5997
Phone: (918) 290-2300
Fax: (918) 290-2310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4175 | Oklahoma |
Profile Details
| NPI number | 1679745418 |
|---|---|
| LBN Legal business name | Bottem, Lee Theodore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Sep 6th, 2019 - about 6 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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