Chabli Glaze
Individual provider Active NPI Case Management Agency · Spencer, OK
NPI 1003160482 · NPPES record last updated Jan 19, 2013
Key facts
- NPI
- 1003160482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 8905 NE 51St St
Spencer, OK 73084-1420 - Phone
- (405) 408-9989
- NPI assigned
- Nov 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | OK | Yes |
Addresses
Primary practice location
8905 NE 51St St
Spencer, OK 73084-1420
Mailing address
8905 NE 51St St
Spencer, OK 73084-1420
Phone (405) 408-9989
Other names
- Chabli Glaze
Other providers in Spencer, OK
- Kit Garrett
- Tanesha Garrett
- Franchell Gates
- Gauri Ghate
- Alexandra Elizabeth Giles
- Lashell Inette Halstied
- Clark Hamilton
- Hurlon Hamilton
- Kimberlea Harlow
- Natalie E Helpern
All providers in Spencer, OK · Case Management Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.