Oklahoma Pet Center Llc

LBN: Oklahoma Pet Center Llc
Oklahoma Pet Center Llc is an health care organization with primary practice located at 5401 N Portland Ave 330, Oklahoma City OK 73112-2121. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Oklahoma Pet Center Llc can be contacted via phone (405) 604-4439, or through Chacko, George N via phone (405) 604-4439.

Contact Information

Primary practice address
5401 N Portland Ave 330 Oklahoma City OK 73112-2121
Phone: (405) 604-4439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chacko, George N Doctor of Medicine (MD)
Phone: (405) 604-4439

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1477739662
LBN Legal business name Oklahoma Pet Center Llc
DBA Doing business as
Authorized official Chacko, George N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 16 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 1477739662 NPPES
Oklahoma Other 569959716001 BCBS

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