Provider Demographics
NPI:1295971976
Name:BRATCHER, CHRISTOPHER L
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:L
Last Name:BRATCHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 SPIRIT WOOD LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-1715
Mailing Address - Country:US
Mailing Address - Phone:405-314-3058
Mailing Address - Fax:405-562-1975
Practice Address - Street 1:1911 SPIRIT WOOD LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73025-1715
Practice Address - Country:US
Practice Address - Phone:405-314-3058
Practice Address - Fax:405-562-1975
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies