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Contact Information

CLINILOGIC LLC
3727 NW 63RD ST STE 302
OKLAHOMA CITY, OK73116-1931
 Phone: 214-310-6763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for CLINILOGIC LLC · (Female)

NPI # 1497375463
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2020
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200844440A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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