Broken Arrow Pain Specialist, Llc

LBN: Broken Arrow Pain Specialist, Llc
Broken Arrow Pain Specialist, Llc is an health care organization with primary practice located at 1129 S Aspen Ave , Broken Arrow OK 74012-4859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Broken Arrow Pain Specialist, Llc can be contacted via phone (539) 367-1253, or through Atkins, Ladd via phone (918) 361-4284.

Contact Information

Primary practice address
1129 S Aspen Ave Broken Arrow OK 74012-4859
Phone: (539) 367-1253
Fax: (539) 367-3311
Website:
Map and Directions
Authorized official contact:
Name: Atkins, Ladd Doctor of Osteopathy (DO)
Phone: (918) 361-4284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1104549427
LBN Legal business name Broken Arrow Pain Specialist, Llc
DBA Doing business as
Authorized official Atkins, Ladd Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 2 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 1104549427 NPPES
Oklahoma MEDICAID 200121490A

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