THE BACK STOP LLC NPI 1033521430

NPI Information

NPI: 1033521430
Provider Name: THE BACK STOP LLC

Doing Business As: THE BACK STOP

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
373 S YUKON PKWY STE C
YUKON, OK
ZIP 73099
Phone: (405) 265-3920
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THE BACK STOP LLC is a pain clinic center in Yukon, OK. THE BACK STOP LLC NPI is 1033521430. The provider is registered as an organization entity type.
The provider Is Doing Business As The Back Stop.

The provider's business location address is:

373 S YUKON PKWY STE C
YUKON, OK
ZIP 73099-597
Phone: (405) 265-3920
Fax: (405) 265-3922

The provider's authorized official is Mark A Kimble .
The authorized official title is Chiropractor/owner and has the following contact phone number (405) 265-3920.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	4154	OKLAHOMA	No
2	261QP3300X	Clinic/Center	Pain	4154	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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