Goodloe, Jeffrey M
Goodloe, Jeffrey M is an individual health care provider with primary practice located at 1145 S Utica Ave 6Th Floor - Ou Dept Of Emergency Medicine, Tulsa OK 74104-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goodloe, Jeffrey M can be contacted via phone (918) 660-3822.Contact Information
Primary practice address
1145 S Utica Ave 6Th Floor - Ou Dept Of Emergency Medicine
Tulsa OK 74104-4000
Phone: (918) 660-3822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K5965 | Texas |
Profile Details
| NPI number | 1285610428 |
|---|---|
| LBN Legal business name | Goodloe, Jeffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 11th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285610428 | NPPES |
| Texas | Other | 89933K | BCBS |
| Texas | Other | 930072620 | BCBS |
| Texas | MEDICAID | 118705601 | BCBS |
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