Sole FX, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

104 Issued in OK

Legal business name

SOLE FX, LLC

Practice address

12711 E 86TH PL N
Suite 105
Owasso, OK 74055-2695

Phone

(918) 609-6136

Fax

(918) 609-6136

NPI assigned

Oct 31, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Dougherty, CPED, LPED

Title

Owner

Phone

(918) 609-6136

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1972782431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 E 86TH PL N",
            "address_2": "SUITE 105",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552695",
            "telephone_number": "918-609-6136",
            "fax_number": "918-609-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 E 86TH PL N",
            "address_2": "SUITE 105",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552695",
            "telephone_number": "918-609-6136",
            "fax_number": "918-609-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE FX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-609-6136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED, LPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "104",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ali Somjee, DDS
• Cheri S Son, DPH
• Kimberly A Sorensen, D.O.
• Southwest Foster Care of Oklahoma, Inc.

• Durable Medical Equipment & Medical Supplies in Owasso, OK
• Providers in Owasso, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.