Individual
DONNA S HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8501 E 21ST STREET, TULSA, OK 74129-1409
(918) 665-1120
Mailing address
8501 E 21ST STREET, TULSA, OK 74129-1409
(918) 665-1120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2194
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005582332
AETNA
OK
01
—
731343913
GALLAGHER BASSETT
OK
Enumeration date
10/11/2006
Last updated
03/28/2013
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