Woitte, Greggory Jon

Woitte, Greggory Jon is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Woitte, Greggory Jon can be contacted via phone (918) 458-3130.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3130
Fax: (918) 458-3315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23702 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-105613 Illinois

Profile Details

NPI number 1336130202
LBN Legal business name Woitte, Greggory Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 6th, 2011 - about 13 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 1336130202 NPPES
Alaska MEDICAID 152094001
Alaska MEDICAID 200015060A

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