Provider Demographics
NPI:1821006941
Name:SENSATIONAL KIDS, INC.
Entity Type:Organization
Organization Name:SENSATIONAL KIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:AUCHTER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR L
Authorized Official - Phone:405-840-1686
Mailing Address - Street 1:430 W WILSHIRE BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7733
Mailing Address - Country:US
Mailing Address - Phone:405-840-1686
Mailing Address - Fax:405-840-1006
Practice Address - Street 1:430 W WILSHIRE BLVD STE 10
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7733
Practice Address - Country:US
Practice Address - Phone:405-840-1686
Practice Address - Fax:405-840-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT1088171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK174567339001OtherBLUECROSS/BLUE SHIELD