Provider Demographics
NPI:1235613027
Name:CMN ENTERPRISES,LLC
Entity Type:Organization
Organization Name:CMN ENTERPRISES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:NORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-332-7275
Mailing Address - Street 1:2806 N KICKAPOO AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-1798
Mailing Address - Country:US
Mailing Address - Phone:405-395-2118
Mailing Address - Fax:580-395-2138
Practice Address - Street 1:2806 N KICKAPOO AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1798
Practice Address - Country:US
Practice Address - Phone:405-395-2118
Practice Address - Fax:405-395-2138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CMN ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty