National Provider Identifier Database

SUNDANCE REHABILITATION AGENCY LLC
Rehabilitation


Contact Information

SUNDANCE REHABILITATION AGENCY LLC
3001 W BLUE STARR DR
CLAREMORE, OK74017-2544
Phone: 918-283-1257
Fax: 410-480-7169
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for SUNDANCE REHABILITATION AGENCY LLC

NPI Number 1073662607
Legal business name
LBN
SUNDANCE REHABILITATION AGENCY LLC
Authorized official IAN OPPEL - (COO)
Entity Organization
Organization subpart No
Enumeration date 01/10/2007
Last updated 04/04/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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