Seefeldt, Gerald
Seefeldt, Gerald is an sole proprietor health care provider with primary practice located at 66 Cedar Ridge Rd , Broken Arrow OK 74011-1101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Seefeldt, Gerald can be contacted via phone (918) 286-6960.Contact Information
Primary practice address
66 Cedar Ridge Rd
Broken Arrow OK 74011-1101
Phone: (918) 286-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15842 | Oklahoma |
Profile Details
| NPI number | 1558322883 |
|---|---|
| LBN Legal business name | Seefeldt, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jun 25th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558322883 | NPPES |
| Oklahoma | MEDICAID | 100213640A | |
| Oklahoma | Other | 800522535 |
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