Provider Demographics
NPI:1083945570
Name:DOYLE, COURTNEY RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:RAE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N FINANCIAL TER
Mailing Address - Street 2:STE G
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-4437
Mailing Address - Country:US
Mailing Address - Phone:405-376-4300
Mailing Address - Fax:405-376-4307
Practice Address - Street 1:500 N FINANCIAL TER
Practice Address - Street 2:STE G
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-4437
Practice Address - Country:US
Practice Address - Phone:405-376-4300
Practice Address - Fax:405-376-4307
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor