Provider Demographics
NPI:1013000975
Name:BAMPOE, BETTY N (DC)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:N
Last Name:BAMPOE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:N
Other - Last Name:LARTEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2716 SW 44TH ST
Mailing Address - Street 2:SUITE F200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73119-3339
Mailing Address - Country:US
Mailing Address - Phone:405-778-0700
Mailing Address - Fax:405-778-4484
Practice Address - Street 1:1601 SW 89TH ST
Practice Address - Street 2:SUITE F200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6349
Practice Address - Country:US
Practice Address - Phone:405-688-9801
Practice Address - Fax:405-688-9800
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001111N00000X
OK3833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor