ABUNDANT LIFE CHIROPRACTIC INC (NPI# 1346631553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346631553 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE CHIROPRACTIC INC |
| Practice Address |
324 Elm Ave Yukon OK 73099-2627 |
| Practice Telephone | 4053500916 |
| Practice Fax Number | 4053500921 |
| Mailing Telephone | 4053500916 |
| Mailing Fax Number | 4053500921 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | DR. ORVILLE LEE RAU (DOCTOR) |
| Authorized Official Telephone | 4053500916 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
2426 | OK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DCN | 640832704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962807560 | Abundant Life Chiropractic Inc | Clinic/Center | 1615 Wade Hampton Blvd, Suite B, Greenville, SC 29609-5062 | 2014-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Abundant Life Chiropractic Inc. | 724 N Main St, Gunnison, CO 81230 |
| Street Address |
324 ELM AVE |
| City | YUKON |
| State | OK |
| Zip Code | 73099-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208234 | Orville Lee Rau | Chiropractor | 324 Elm Ave, Yukon, OK 73099-2627 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441391 | Hugh G Mcclure | Chiropractor | 401 W Vandament Ave, Yukon, OK 73099-4654 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354924 | Langebartels Chiropractic LLC | Chiropractor | 500 S Elm Pl Ste B, Broken Arrow, OK 74012-5376 | 2019-06-12 |
| 1134699127 | Taylor Andrew Langebartels | Chiropractor | 19107 E 49th St, Tulsa, OK 74134-7215 | 2018-12-03 |
| 1225354541 | Ashlock Chiropractic PC | Chiropractor | 12899 E 76th St N Ste 101, Owasso, OK 74055-4059 | 2010-04-12 |
Please comment or provide details below to improve the information on ABUNDANT LIFE CHIROPRACTIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.