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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285610428 NPPES
Texas Other 89933K BCBS
Texas Other 930072620 BCBS
Texas MEDICAID 118705601 BCBS

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