Provider Demographics
NPI:1932490521
Name:STRIBLING HIGNITE, BONNIE S (DC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:S
Last Name:STRIBLING HIGNITE
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 1:1214 OKLAHOMA PLAZA
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2291
Mailing Address - Country:US
Mailing Address - Phone:580-436-9079
Mailing Address - Fax:580-436-8204
Practice Address - Street 1:931 ARLINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-4025
Practice Address - Country:US
Practice Address - Phone:580-436-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor