1669666012 NPI number — MRS. DARBI LYN STERLING HINDE PT

Table of content: MRS. DARBI LYN STERLING HINDE PT (NPI 1669666012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669666012 NPI number — MRS. DARBI LYN STERLING HINDE PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERLING HINDE
Provider First Name:
DARBI
Provider Middle Name:
LYN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1669666012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
427 BARNES AVE STE 2
Provider Second Line Business Mailing Address:
P.O. BOX 862
Provider Business Mailing Address City Name:
ALVA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73717-2286
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-327-0732
Provider Business Mailing Address Fax Number:
580-327-0737

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
427 BARNES AVE
Provider Second Line Business Practice Location Address:
STE 2
Provider Business Practice Location Address City Name:
ALVA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73717-2287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-327-0732
Provider Business Practice Location Address Fax Number:
580-327-0737
Provider Enumeration Date:
08/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  4875 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: 1103671 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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