Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3700 | OK |
N | 207R00000X | Internist | 3700 | OK |
N | 111NI0900X | Internist | 3700 | OK |
N | 111NN0400X | Neurology | 3700 | OK |
N | 111NR0200X | Radiology | 3700 | OK |
N | 213ER0200X | Radiology | 3700 | OK |
N | 111NR0400X | Rehabilitation Chiropractor | 3700 | OK |
N | 111NS0005X | Chiropractic Sports Physician | 3700 | OK |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 3700 | OK |
NPI | 1861506297 |
---|---|
Provider Name | Dr. Rebekah S Nunn |
First Address | Tulsa, OK 74133 |
Second Address | Tulsa, OK 74133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 29/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02553 | BLUE LINKS GROUP ID (01) | OK |