Gunderson, Robert J

Gunderson, Robert J is an individual health care provider with primary practice located at 1533 N Harrison St , Shawnee OK 74804-4020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gunderson, Robert J can be contacted via phone (405) 751-1766.

Contact Information

Primary practice address
1533 N Harrison St Shawnee OK 74804-4020
Phone: (405) 751-1766
Fax: (405) 844-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3030 Oklahoma

Profile Details

NPI number 1598748907
LBN Legal business name Gunderson, Robert J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 24th, 2021 - about 4 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 1598748907 NPPES
Oklahoma MEDICAID 100257690B

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