Gasbarra, Dianne Brewer

Gasbarra, Dianne Brewer is an sole proprietor health care provider with primary practice located at 4200 W Memorial Rd Ste 405, Oklahoma City OK 73120-9350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Gasbarra, Dianne Brewer can be contacted via phone (405) 292-5500.

Contact Information

Primary practice address
4200 W Memorial Rd Ste 405 Oklahoma City OK 73120-9350
Fax: (405) 292-5505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 13952 Oklahoma

Profile Details

NPI number 1225020282
LBN Legal business name Gasbarra, Dianne Brewer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Nov 8th, 2012 - about 12 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 1225020282 NPPES
Oklahoma MEDICAID 10002019OA
Oklahoma Other P00149574

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