Provider Demographics
NPI:1013000975
Name:BAMPOE, BETTY N (DC)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:N
Last Name:BAMPOE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:N
Other - Last Name:LARTEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5850 W WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4904
Mailing Address - Country:US
Mailing Address - Phone:405-803-8770
Mailing Address - Fax:405-338-1622
Practice Address - Street 1:5850 W WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-4904
Practice Address - Country:US
Practice Address - Phone:405-803-8770
Practice Address - Fax:405-338-1622
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001111N00000X
OK3833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor