Gastorf, Melissa Ann
Gastorf, Melissa Ann is an individual health care provider with primary practice located at 1004 N 19Th Ave Building 2, Durant OK 74701-3016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gastorf, Melissa Ann can be contacted via phone (580) 931-9135.Contact Information
Primary practice address
1004 N 19Th Ave Building 2
Durant OK 74701-3016
Phone: (580) 931-9135
Fax: (580) 931-9161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4074 | Oklahoma |
Profile Details
| NPI number | 1164426847 |
|---|---|
| LBN Legal business name | Gastorf, Melissa Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jan 3rd, 2011 - about 15 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 | 1164426847 | NPPES |
| Oklahoma | MEDICAID | 200069300A |
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