Northwest Institute Of Sports Medicine

LBN: Northwest Institute Of Sports Medicine
Northwest Institute Of Sports Medicine is an health care organization with primary practice located at 4200 W Memorial Rd Suite 1001, Oklahoma City OK 73120-9350. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northwest Institute Of Sports Medicine can be contacted via phone (405) 787-7678, or through Muse, Gene Lester via phone (405) 787-7678.

Contact Information

Primary practice address
4200 W Memorial Rd Suite 1001 Oklahoma City OK 73120-9350
Phone: (405) 787-7678
Fax: (405) 751-3367
Website:
Map and Directions
Authorized official contact:
Name: Muse, Gene Lester Doctor of Medicine (MD)
Phone: (405) 787-7678

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11348 Oklahoma

Profile Details

NPI number 1760509079
LBN Legal business name Northwest Institute Of Sports Medicine
DBA Doing business as
Authorized official Muse, Gene Lester Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 19th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760509079 NPPES
Oklahoma MEDICAID 200061670A
Oklahoma Other 444600470002

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