Grotheer, Martin Herman
Grotheer, Martin Herman is an sole proprietor health care provider with primary practice located at 10 S Treaty Rd , Miami OK 74354-5330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grotheer, Martin Herman can be contacted via phone (918) 542-6644.Contact Information
Primary practice address
10 S Treaty Rd
Miami OK 74354-5330
Phone: (918) 542-6644
Fax: (918) 542-6167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10117 | Oklahoma |
Profile Details
| NPI number | 1750352597 |
|---|---|
| LBN Legal business name | Grotheer, Martin Herman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Nov 9th, 2012 - 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 | 1750352597 | NPPES |
| Oklahoma | MEDICAID | 100258760A |
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