Provider Demographics
NPI:1861506297
Name:NUNN, REBEKAH S (BS, D C)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:S
Last Name:NUNN
Suffix:
Gender:F
Credentials:BS, D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 E. 61ST STREET SUITE 101
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133
Mailing Address - Country:US
Mailing Address - Phone:918-307-0077
Mailing Address - Fax:918-307-0917
Practice Address - Street 1:8316 E. 61ST STREET SUITE 101
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133
Practice Address - Country:US
Practice Address - Phone:918-307-0077
Practice Address - Fax:918-307-0917
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3700111N00000X, 111NI0900X, 111NN0400X, 111NR0200X, 111NR0400X, 111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK02553OtherBLUE LINKS GROUP ID