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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336130202 | NPPES |
Alaska | MEDICAID | 152094001 | |
Alaska | MEDICAID | 200015060A |
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