National Provider Identifier Database

THE SPECIALTY CARE CLINIC
General Practice


Contact Information

THE SPECIALTY CARE CLINIC
4127 NW 122ND ST STE E
OKLAHOMA CITY, OK73120-8880
Phone: 405-276-8076
Fax: 405-276-8077
Website:
Specialty Taxonomy Code
* General Practice 163WG0000X
Adult Medicine 207QA0505X
Licensed Practical Nurse 164W00000X
Neonatal-Perinatal Medicine 2080N0001X

* Indicates primary specialty

NPI Profile & details for THE SPECIALTY CARE CLINIC

NPI Number 1518547702
Legal business name
LBN
THE SPECIALTY CARE CLINIC
Authorized official JAMI REED - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/12/2021
Last updated 04/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 1255358891

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.

Reviews for THE SPECIALTY CARE CLINIC

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