Organization
GLOBAL ADMINISTRATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY J DICK (OFFICE MGR)
(918) 451-3737
Entity
Organization
Contact information
Practice address
512 W BOSTON ST, BROKEN ARROW, OK 74012-7021
(918) 451-3737
(918) 451-3741
Mailing address
512 W BOSTON ST, BROKEN ARROW, OK 74012-7021
(918) 451-3737
(918) 451-3741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2653
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513586056001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
04/18/2007
Last updated
01/03/2008
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