Gourley, Robert D
Gourley, Robert D is an sole proprietor health care provider with primary practice located at 920 S Bryant Ave Ste 100, Edmond OK 73034-5797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gourley, Robert D can be contacted via phone (405) 341-4238.Contact Information
Primary practice address
920 S Bryant Ave Ste 100
Edmond OK 73034-5797
Phone: (405) 341-4238
Fax: (405) 340-0269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 10888 | Oklahoma |
Profile Details
| NPI number | 1093704793 |
|---|---|
| LBN Legal business name | Gourley, Robert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Nov 13th, 2009 - about 16 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 | 1093704793 | NPPES |
| Oklahoma | MEDICAID | 100212730A |
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