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Contact Information

OKLAHOMA PAIN & REHAB LLC
2149 SW 59TH ST
SUITE 201
OKLAHOMA CITY, OK73119-7033
 Phone: 405-681-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OKLAHOMA PAIN REHAB LLC · (Female)

NPI Number 1013207505
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2011
Last updated 05/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200388340A
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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