National Provider Identifier Database

SPINE CARE OF OKLAHOMA LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

SPINE CARE OF OKLAHOMA, LLC
508 W 15TH ST
EDMOND, OK73013-3615
Phone: 405-840-5100
Fax: 405-840-5102
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for SPINE CARE OF OKLAHOMA, LLC

NPI Number 1033302906
Legal business name
LBN
SPINE CARE OF OKLAHOMA, LLC
Authorized official EDWARD SHADID - (BUSINESS OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/23/2007
Last updated 08/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 22294

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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