Provider Demographics
NPI:1326366972
Name:WELCH PAIN RELIEF CENTER INC
Entity Type:Organization
Organization Name:WELCH PAIN RELIEF CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:FLOYD
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-949-0434
Mailing Address - Street 1:4430 NW 50TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2298
Mailing Address - Country:US
Mailing Address - Phone:405-949-0434
Mailing Address - Fax:405-949-0330
Practice Address - Street 1:4430 NW 50TH
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2298
Practice Address - Country:US
Practice Address - Phone:405-949-0434
Practice Address - Fax:405-949-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKODCCKMedicare UPIN