1124531736 NPI number — PACK FAMILY CLINIC, PLLC

Table of content: MR. CHRISTINE ANN RYAN LPN (NPI 1770664666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124531736 NPI number — PACK FAMILY CLINIC, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PACK FAMILY CLINIC, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124531736
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1509 AUGUSTA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ADA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74820-8576
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-728-4942
Provider Business Mailing Address Fax Number:
918-770-8456

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1509 AUGUSTA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74820-8576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-728-4942
Provider Business Practice Location Address Fax Number:
918-770-8456
Provider Enumeration Date:
11/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
PACK
Authorized Official First Name:
VALERIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
FAMILY PHYSICIAN
Authorized Official Telephone Number:
918-728-4942

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  5857 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200654670A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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