Provider Demographics
NPI:1922555994
Name:HAIKIN, CATHERINE ROSE (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ROSE
Last Name:HAIKIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 SIOUX ST
Mailing Address - Street 2:
Mailing Address - City:CRESCENT
Mailing Address - State:OK
Mailing Address - Zip Code:73028-9240
Mailing Address - Country:US
Mailing Address - Phone:405-441-1273
Mailing Address - Fax:
Practice Address - Street 1:1751 W 33RD ST
Practice Address - Street 2:SUITE 130
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:405-441-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor