Holte, Douglas W

Holte, Douglas W is an sole proprietor health care provider with primary practice located at 817 S Elm Pl Suite A, Broken Arrow OK 74012-5369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holte, Douglas W can be contacted via phone (918) 251-2273.

Contact Information

Primary practice address
817 S Elm Pl Suite A Broken Arrow OK 74012-5369
Phone: (918) 251-2273
Fax: (918) 258-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15244 Oklahoma

Profile Details

NPI number 1558332676
LBN Legal business name Holte, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Feb 25th, 2008 - about 17 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 1558332676 NPPES
Oklahoma Other 300392142001 BLUECROSS BLUE SHIELD
Oklahoma MEDICAID 100172440D BLUECROSS BLUE SHIELD
Oklahoma Other 300392142 BLUECROSS BLUE SHIELD
Oklahoma Other P00389602 BLUECROSS BLUE SHIELD

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