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Contact Information

OKLAHOMA STATE UNIVERSITY
170 ATHLETICS CENTER
STILLWATER, OK74078-0001
 Phone: 405-744-5430
 Fax: 405-744-4945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for OKLAHOMA STATE UNIVERSITY

NPI # 1063681104
LBN Legal business name OKLAHOMA STATE UNIVERSITY
Authorized official GEORGIA CHAPPELL - (ATHLETICS INSURANCE COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2008
Last updated 02/22/2008 - About 18 years ago
Identifiers
OK License # 17462
OK License # 3509
OK License # 465
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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