415 Main Llc

NPI 1093037046 - Chiropractor - 111N00000X

NPI Details
NPI 1093037046
Enumeration Date 02/18/2010
Last Updated 02/18/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TRACY TRACY
Position OWNER
Phone (405) 579-3400
Fax (405) 579-3401
Practice Location
3733 W MAIN ST
NORMAN OK, 73072-4639, US
Phone (405) 579-3400
Fax (405) 579-3401
Business Location
3334 W MAIN ST # 454
NORMAN OK, 73072-4805, US
Phone (405) 579-3400
Fax (405) 579-3400
Toxanomy
Taxonomy Code 111N00000X
License State Oklahoma
License Number 3509
Remove 1093037046 NPI Number
 

According to our database, 415 Main Llc NPI is 1093037046, taxonomy code is 111N00000X and license number is 3509, license state is located at Oklahoma. 415 Main Llc physically located at 3733 W Main St, Norman OK, 73072-4639. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093037046 NPI number is provided on an as is basis without warranty of any kind. 1093037046 is maintained by the National Plan & Provider Enumeration System. The contents of 415 Main Llc are for informational purposes only.