Gastorf, Jeffrey Alan

Gastorf, Jeffrey Alan is an individual health care provider with primary practice located at 1004 N 19Th Ave Bldg 2, Durant OK 74701-3016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gastorf, Jeffrey Alan can be contacted via phone (580) 931-9135.

Contact Information

Primary practice address
1004 N 19Th Ave Bldg 2 Durant OK 74701-3016
Phone: (580) 931-9135
Fax: (580) 931-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3950 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3950 Oklahoma

Profile Details

NPI number 1275537953
LBN Legal business name Gastorf, Jeffrey Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 3rd, 2011 - about 13 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 1275537953 NPPES
Oklahoma MEDICAID 200026040A

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