National Provider Identifier Database

MIDSTATE REHAB LLC
Rehabilitation


Contact Information

MIDSTATE REHAB LLC
114 S ASH ST
GUTHRIE, OK73044-4908
Phone: 405-282-2005
Fax: 405-282-2129
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for MIDSTATE REHAB LLC

NPI Number 1437158318
Legal business name
LBN
MIDSTATE REHAB LLC
Authorized official TANDIE HASTINGS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/21/2005
Last updated 05/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200055810A

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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