Barrett Spinal Care P C | |
441 S Muskogee Ave Tahlequah OK 74464-4427 | |
(918) 453-0112 | |
Not Available |
Full Name | Barrett Spinal Care P C |
---|---|
Speciality | Clinic/Center |
Location | 441 S Muskogee Ave, Tahlequah, Oklahoma |
Authorized Official Name and Position | Ryan Thomas Barrett (PRESIDENT) |
Authorized Official Contact | 9184530112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Barrett Spinal Care P C Po Box 1778 Tahlequah OK 74465-1778 Ph: (918) 453-0112 | Barrett Spinal Care P C 441 S Muskogee Ave Tahlequah OK 74464-4427 Ph: (918) 453-0112 |
NPI Number | 1992815104 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7214959253 |
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Medicare Enrollment ID | O20051219000861 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992815104 | NPI | - | NPPES |
515863800001 | Other | OK | BLUE CROSS BLUE SHIELD OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3664 (Oklahoma) | Primary |
Provider Name | Ryan Thomas Barrett |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932219136 PECOS PAC ID: 1456373497 Enrollment ID: I20100823000118 |
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