Provider Demographics
NPI:1457435968
Name:RANEY, BOBI LARU (DC)
Entity Type:Individual
Prefix:DR
First Name:BOBI
Middle Name:LARU
Last Name:RANEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6373 S MEMORIAL DR
Mailing Address - Street 2:BLDG. C
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1950
Mailing Address - Country:US
Mailing Address - Phone:918-249-3500
Mailing Address - Fax:918-249-3500
Practice Address - Street 1:6373 S MEMORIAL DR
Practice Address - Street 2:BLDG. C
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1950
Practice Address - Country:US
Practice Address - Phone:918-249-3500
Practice Address - Fax:918-249-3500
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3519111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK73160112500OtherHEALTHCHOICE PROVIDER #
OK20200OtherBLUELINES PROVIDER #
OK731601125 0003OtherCIGNA PROVIDER #
OK20200OtherBLUELINES PROVIDER #