Wiebe, Bob J

Wiebe, Bob J is an individual health care provider with primary practice located at 1 E Clark Bass Blvd , Mcalester OK 74501-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wiebe, Bob J can be contacted via phone (918) 426-1800.

Contact Information

Primary practice address
1 E Clark Bass Blvd Mcalester OK 74501-4209
Fax: (918) 421-8066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1852 Oklahoma

Profile Details

NPI number 1407864390
LBN Legal business name Wiebe, Bob J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 15th, 2010 - about 14 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 1407864390 NPPES
Oklahoma MEDICAID 100258320B

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