Ada Orthopedics & Sports Medicine, Pc

LBN: Ada Orthopedics & Sports Medicine, Pc
Ada Orthopedics & Sports Medicine, Pc is an health care organization with primary practice located at 625 N Monte Vista St , Ada OK 74820-4613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Ada Orthopedics & Sports Medicine, Pc can be contacted via phone (580) 332-4443, or through Charboneau, Roger John via phone (580) 332-4443.

Contact Information

Primary practice address
625 N Monte Vista St Ada OK 74820-4613
Phone: (580) 332-4443
Fax: (580) 332-4846
Website:
Map and Directions
Authorized official contact:
Name: Charboneau, Roger John Doctor of Osteopathy (DO)
Phone: (580) 332-4443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1427196773
LBN Legal business name Ada Orthopedics & Sports Medicine, Pc
DBA Doing business as
Authorized official Charboneau, Roger John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Mar 27th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427196773 NPPES
Oklahoma Other DD1743 RAILROAD MEDICARE

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