Provider Demographics
NPI:1356604987
Name:CAH ACQUISITION COMPANY 9 LLC
Entity type:Organization
Organization Name:CAH ACQUISITION COMPANY 9 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:TROXELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-922-7361
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:SEILING
Mailing Address - State:OK
Mailing Address - Zip Code:73663-0720
Mailing Address - Country:US
Mailing Address - Phone:580-922-7361
Mailing Address - Fax:580-922-7718
Practice Address - Street 1:US HIGHWAY 60 NORTHEAST
Practice Address - Street 2:
Practice Address - City:SEILING
Practice Address - State:OK
Practice Address - Zip Code:73663
Practice Address - Country:US
Practice Address - Phone:580-922-7361
Practice Address - Fax:580-922-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2256133N00000X, 207R00000X, 208M00000X, 363A00000X, 367500000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty