Gottehrer, Andrew
Gottehrer, Andrew is an individual health care provider with primary practice located at 10505 E 91St St Suite 208, Tulsa OK 74133-5801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gottehrer, Andrew can be contacted via phone (918) 307-5470.Contact Information
Primary practice address
10505 E 91St St Suite 208
Tulsa OK 74133-5801
Phone: (918) 307-5470
Fax: (918) 307-5471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 17603 | Oklahoma |
Profile Details
| NPI number | 1013913359 |
|---|---|
| LBN Legal business name | Gottehrer, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913359 | NPPES |
| Oklahoma | MEDICAID | 100013710A |
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