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SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE NPI 1538673256


NPI Information

NPI: 1538673256
Provider Name: SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE

Doing Business As: PARADIGM HORMONES

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
731 12TH AVE NW STE 201
ARDMORE, OK
ZIP 73401
Phone: (405) 703-3614
Get Directions

SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE is a public health and general preventive medicine preventive medicine in Ardmore, OK. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE NPI is 1538673256. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Paradigm Hormones.

The provider's business location address is:

731 12TH AVE NW STE 201
ARDMORE, OK
ZIP 73401-764
Phone: (405) 703-3614

The provider's authorized official is Nikki Busellato .
The authorized official title is Ins. Credentialing and has the following contact phone number (405) 703-3614.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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