Provider Demographics
NPI:1588858948
Name:SIMPSON FAMILY CLINIC
Entity Type:Organization
Organization Name:SIMPSON FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SIDNEY
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-332-2332
Mailing Address - Street 1:217 N MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-5236
Mailing Address - Country:US
Mailing Address - Phone:580-332-2332
Mailing Address - Fax:580-332-5593
Practice Address - Street 1:217 N MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-5236
Practice Address - Country:US
Practice Address - Phone:580-332-2332
Practice Address - Fax:580-332-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty