415 Main Llc

LBN: 415 Main Llc
415 Main Llc is an health care organization with primary practice located at 10317 Greenbriar Pkwy , Oklahoma City OK 73159-7648. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. 415 Main Llc can be contacted via phone (405) 378-3400, or through Ellis, Tracy via phone (405) 664-7622.

Contact Information

Primary practice address
10317 Greenbriar Pkwy Oklahoma City OK 73159-7648
Phone: (405) 378-3400
Fax: (866) 323-7959
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Tracy Doctor of Chiropractic (DC)
Phone: (405) 664-7622

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3509 Oklahoma

Profile Details

NPI number 1093037046
LBN Legal business name 415 Main Llc
DBA Doing business as
Authorized official Ellis, Tracy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Dec 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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