Joint Reconstructive Specialist

LBN: Joint Reconstructive Specialist
Joint Reconstructive Specialist is an health care organization with primary practice located at 3110 Sw 89Th St Ste 200 D, Oklahoma City OK 73159-7920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Joint Reconstructive Specialist can be contacted via phone (405) 680-5633, or through Maitino, Paul D via phone (405) 680-5633.

Contact Information

Primary practice address
3110 Sw 89Th St Ste 200 D Oklahoma City OK 73159-7920
Phone: (405) 680-5633
Fax: (405) 735-6435
Website:
Map and Directions
Authorized official contact:
Name: Maitino, Paul D Doctor of Osteopathy (DO)
Phone: (405) 680-5633

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3588 Oklahoma

Profile Details

NPI number 1629187596
LBN Legal business name Joint Reconstructive Specialist
DBA Doing business as
Authorized official Maitino, Paul D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 5th, 2013 - about 11 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 1629187596 NPPES
Oklahoma MEDICAID 200075360A
Oklahoma Other 200038126

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