Wauters, Brent Louis

Wauters, Brent Louis is an individual health care provider with primary practice located at 2220 W Iowa Ave , Chickasha OK 73018-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wauters, Brent Louis can be contacted via phone (405) 224-2300.

Contact Information

Primary practice address
2220 W Iowa Ave Chickasha OK 73018-2738
Phone: (405) 224-2300
Fax: (405) 779-2413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12751 Oklahoma

Profile Details

NPI number 1346270188
LBN Legal business name Wauters, Brent Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 3rd, 2008 - about 17 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 1346270188 NPPES
Oklahoma MEDICAID 100255790 A

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