Provider Demographics
NPI:1003191222
Name:SMITH, ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:RAPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 NW 50TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5638
Mailing Address - Country:US
Mailing Address - Phone:405-946-7397
Mailing Address - Fax:
Practice Address - Street 1:3600 NW 50TH ST
Practice Address - Street 2:STE C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5638
Practice Address - Country:US
Practice Address - Phone:405-946-7397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11500111N00000X
OK3992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor