Emerson, Gwendolyn Beth
Emerson, Gwendolyn Beth is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Emerson, Gwendolyn Beth can be contacted via phone (918) 494-2665.Contact Information
Primary practice address
2488 E 81St St Ste 290
Tulsa OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 28926 | Oklahoma |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 28926 | Oklahoma |
Profile Details
| NPI number | 1295842003 |
|---|---|
| LBN Legal business name | Emerson, Gwendolyn Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Feb 9th, 2023 - about 3 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 | 1295842003 | NPPES |
| Oklahoma | MEDICAID | 200435180A |
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