1578984670 NPI number — CLINT AND CAROLYN INC.

Table of content: (NPI 1578984670)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578984670 NPI number — CLINT AND CAROLYN INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLINT AND CAROLYN INC.
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:
1578984670
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1603 W GORE BLVD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
LAWTON
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73501-3610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-581-9300
Provider Business Mailing Address Fax Number:
580-581-9300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1603 W GORE BLVD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
LAWTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73501-3610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-581-9300
Provider Business Practice Location Address Fax Number:
580-581-9300
Provider Enumeration Date:
12/17/2013

Additional Information

Authorized Official

Authorized Official Last Name:
HIGGINBOTHAM
Authorized Official First Name:
CLINT
Authorized Official Middle Name:
Authorized Official Title or Position:
HEARING CARE PROFESSIONAL
Authorized Official Telephone Number:
580-581-9300

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X , with the licence number:  550 , 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)





Copyright © 2007-2025 www.npivalidator.com