Back2Health Of Tulsa P.C. in Glenpool - Medical Specialty
Back2Health Of Tulsa P.C. - NPI 1376660316
Back2Health Of Tulsa P.C. is a Medical Specialty in Glenpool, Oklahoma. Back2Health Of Tulsa P.C. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Back2Health Of Tulsa P.C. is 1376660316. The last update date is 2020-08-22.
Back2Health Of Tulsa P.C.'s current location address is Po Box 459, Glenpool, Oklahoma. You can contact this provider via phone number 9183223000 and fax number 9183223012. The mailing address for Back2Health Of Tulsa P.C. is Po Box 459, Glenpool, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back2Health Of Tulsa P.C. |
|---|---|
| Address | Po Box 459, Glenpool, Oklahoma |
| Phone Number | 9183223000 |
| Fax Number | 9183223012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ratzlaff Dale Myron |
| Credentials | D.C. |
| Telephone Number | 9183223000 |
NPI Number Detail
| NPI Number | 1376660316 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 459 |
|---|---|
| City | Glenpool |
| State | Oklahoma (OK) |
| Post Code | 740330459 |
| Phone Number | 9183223000 |
| Fax Number | 9183223012 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 3305 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the Back2Health Of Tulsa P.C.'s 1376660316?
The Back2Health Of Tulsa P.C.'s NPI (National Provider Identifier) Number is 1376660316. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Back2Health Of Tulsa P.C. located?
The Back2Health Of Tulsa P.C. is located at Po Box 459, Glenpool, OK 740330459.
What is Back2Health Of Tulsa P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Back2Health Of Tulsa P.C.'s specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376660316 to Back2Health Of Tulsa P.C.?
The Centers for Medicare & Medicaid Services assigned the 1376660316 to Back2Health Of Tulsa P.C. on 2007-03-23.
As of what date was the information regarding Back2Health Of Tulsa P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Back2Health Of Tulsa P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.