National Provider Identifier Database

IGNITE MEDICAL RESORT OKC LLC
Rehabilitation


Contact Information

IGNITE MEDICAL RESORT OKC, LLC
6312 N PORTLAND AVE
OKLAHOMA CITY, OK73112-1463
Phone: 405-946-6932
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for IGNITE MEDICAL RESORT OKC, LLC

NPI Number 1942801899
Legal business name
LBN
IGNITE MEDICAL RESORT OKC, LLC
Authorized official TIMOTHY FIELDS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/06/2020
Last updated 11/06/2020 - About 6 years 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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