Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 3458 | OK |
N | 111NN1001X | Nutrition | 365 | OK |
NPI | 1417040478 |
---|---|
Provider Name | Dr. William K. Lemay |
First Address | Bartlesville, OK 74006-4524 |
Second Address | Bartlesville, OK 74006-4524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10010324 | PREFERRED COMUNITY CHOICE (01) | OK |
669386 | A.C.N. PROVIDER NUMBER (01) | OK |
7933090 | AETNA PROVIDER NUMBER (01) | OK |
P00288613 | RAILROAD MEDICARE (01) | OK |
U75255 | (02) | OK |