Emerson, Gwendolyn Beth

Emerson, Gwendolyn Beth is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Emerson, Gwendolyn Beth can be contacted via phone (918) 494-2665.

Contact Information

Primary practice address
2488 E 81St St Ste 290 Tulsa OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28926 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 28926 Oklahoma

Profile Details

NPI number 1295842003
LBN Legal business name Emerson, Gwendolyn Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 9th, 2023 - about last year

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 1295842003 NPPES
Oklahoma MEDICAID 200435180A

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