Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 10001 | TX |
Y | 111N00000X | Chiropractor | 3833 | OK |
NPI | 1013000975 |
---|---|
Provider Name | Dr. Betty N Bampoe |
First Address | Oklahoma City, OK 73119-3339 |
Second Address | Oklahoma City, OK 73159-6349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 28/01/2016 |