Provider Demographics
NPI:1720409857
Name:OHMAN, CHRIS (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:OHMAN
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 S BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4416
Mailing Address - Country:US
Mailing Address - Phone:918-261-5334
Mailing Address - Fax:
Practice Address - Street 1:1626 S BOSTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4416
Practice Address - Country:US
Practice Address - Phone:918-261-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOBPVS #6840-203171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist