Dr Leo H Wynn, DC is a
Chiropractor based in Checotah, Oklahoma. Dr Leo H Wynn is licensed to practice in Oklahoma (license number 20070862) and his current practice location is
103 Sw 4th St, Checotah, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 473-1182.
NPI number for Dr Leo H Wynn is 1588786826 and his current mailing address is 103 Sw 4th St, Checotah, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588786826.
Healthcare Provider's Profile
| Full Name | Dr Leo H Wynn |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 103 Sw 4th St, Checotah, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588786826
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 08/27/2010
Medical Identifiers
Medical identifiers for Dr Leo H Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588786826 | NPI | - | NPPES |
| 731414931 | Other | OK | EMPLOYER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 20070862 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leo H Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Leo H Wynn, DC
103 Sw 4th St,
Checotah, OK 74426-3609
Ph: (918) 473-1182 | Dr Leo H Wynn, DC
103 Sw 4th St,
Checotah, OK 74426-3609
Ph: (918) 473-1182 |
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