Earl Udo Bachenberg in Tulsa - Dermatology

Earl Udo Bachenberg - NPI 1497713671

Earl Udo Bachenberg is a Dermatology in Tulsa, Oklahoma. Earl Udo Bachenberg practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Earl Udo Bachenberg is 1497713671. The last update date is 2008-09-29.

Earl Udo Bachenberg's current location address is 1844 E 15th St, Tulsa, Oklahoma. You can contact this provider via phone number 9187497177. The mailing address for Earl Udo Bachenberg is 1844 E 15th St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Earl Udo Bachenberg
Address 1844 E 15th St, Tulsa, Oklahoma
Phone Number 9187497177
Fax Number
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1497713671
Provider Enumeration Date 2006-05-03
Last Updated Date 2008-09-29

Provider Mailing Address Detail

Address 1844 E 15th St
City Tulsa
State Oklahoma (OK)
Post Code 741044611
Phone Number 9187497177
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 1497
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100018180B OK --

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FAQs about Earl Udo Bachenberg

What is the unique 10-digit identification code assigned to Earl Udo Bachenberg by the Centers for Medicare & Medicaid Services?

The Earl Udo Bachenberg has been issued the NPI (National Provider Identifier) 1497713671, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Earl Udo Bachenberg?

The Earl Udo Bachenberg is situated at 1844 E 15Th St, in the city of Tulsa, state of OK, with the zip code 741044611.

What is the Earl Udo Bachenberg's area of specialization and corresponding taxonomy classification?

The Earl Udo Bachenberg's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

On what date did Earl Udo Bachenberg receive its 1497713671 assignment from the Centers for Medicare & Medicaid Services?

The Earl Udo Bachenberg was assigned its 1497713671 on 2006-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Earl Udo Bachenberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Earl Udo Bachenberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-29.

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