Provider Demographics
NPI:1225679830
Name:SUTTON, EMMALYNNE BESSE (DC)
Entity Type:Individual
Prefix:MRS
First Name:EMMALYNNE
Middle Name:BESSE
Last Name:SUTTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMMALYNNE
Other - Middle Name:BESSE
Other - Last Name:SPLICHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:ADA FAMILY CHIROPRACTIC
Mailing Address - Street 2:1214 OKLAHOMA PLAZA
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-9079
Mailing Address - Fax:580-436-8204
Practice Address - Street 1:ADA FAMILY CHIROPRACTIC
Practice Address - Street 2:1214 OKLAHOMA PLAZA
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-436-9079
Practice Address - Fax:580-436-8204
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-04
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE0000000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor