Provider Demographics
NPI:1457447450
Name:SILHOUETTES
Entity Type:Organization
Organization Name:SILHOUETTES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BIBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-335-1400
Mailing Address - Street 1:4917 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-8504
Mailing Address - Country:US
Mailing Address - Phone:918-335-1400
Mailing Address - Fax:
Practice Address - Street 1:4917 AMHERST DR
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-8504
Practice Address - Country:US
Practice Address - Phone:918-335-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8699601744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5832980001Medicare NSC