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ABUNDANT LIFE CHIROPRACTIC INC NPI 1346631553


NPI Information

NPI: 1346631553
Provider Name: ABUNDANT LIFE CHIROPRACTIC INC
Classification: Chiropractor - 111NI0013X
Entity Type: Organization

Specialization: Independent Medical Examiner

CLIA Number: 37D0945610

Address:
324 ELM AVE
YUKON, OK
ZIP 73099
Phone: (405) 350-0916
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ABUNDANT LIFE CHIROPRACTIC INC is an independent medical examiner chiropractor in Yukon, OK. The provider is a chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. ABUNDANT LIFE CHIROPRACTIC INC NPI is 1346631553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

324 ELM AVE
YUKON, OK
ZIP 73099-627
Phone: (405) 350-0916
Fax: (405) 350-0921

The provider's authorized official is Orville Lee Rau .
The authorized official title is Doctor and has the following contact phone number (405) 350-0916.

The CLIA number assigned to this NPI record is 37D0945610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NI0013XChiropractorIndependent Medical Examiner2426OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1640832704OTHEROKLAHOMADCN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.