Provider Demographics
NPI:1033238530
Name:BLESSED BITES INC
Entity Type:Organization
Organization Name:BLESSED BITES INC
Other - Org Name:ABSOLUTE BEST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JO LIETA
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-825-2525
Mailing Address - Street 1:2 S COO Y YAH ST
Mailing Address - Street 2:STE.4
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361-4636
Mailing Address - Country:US
Mailing Address - Phone:918-825-2525
Mailing Address - Fax:918-825-2615
Practice Address - Street 1:2 S COO Y YAH ST
Practice Address - Street 2:STE.4
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-4636
Practice Address - Country:US
Practice Address - Phone:918-825-2525
Practice Address - Fax:918-825-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2579261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center