Provider Demographics
NPI:1972545903
Name:RAINS, BILL W (DC)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:W
Last Name:RAINS
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2600 W BROADWAY AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-6507
Mailing Address - Country:US
Mailing Address - Phone:580-622-8333
Mailing Address - Fax:580-622-8771
Practice Address - Street 1:2600 W BROADWAY AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-6507
Practice Address - Country:US
Practice Address - Phone:580-622-8333
Practice Address - Fax:580-622-8771
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK1614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor