Landrum, Cord Tanner

Landrum, Cord Tanner is an individual health care provider with primary practice located at 905 Colony Dr , Ada OK 74820-2329. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Landrum, Cord Tanner can be contacted via phone (580) 436-5111.

Contact Information

Primary practice address
905 Colony Dr Ada OK 74820-2329
Phone: (580) 436-5111
Fax: (580) 436-1159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3744 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3003 Oklahoma

Profile Details

NPI number 1801986740
LBN Legal business name Landrum, Cord Tanner
Credentials D.C., PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801986740 NPPES
Oklahoma Other 3003 OKLAHOMA BOARD OF MEDICAL LICENSURE

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