Provider Demographics
NPI:1780994442
Name:PROCESSING LIFE PLLC
Entity type:Organization
Organization Name:PROCESSING LIFE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:IAQUINTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-722-1220
Mailing Address - Street 1:4000 SPYGLASS LN
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3060
Mailing Address - Country:US
Mailing Address - Phone:405-722-1220
Mailing Address - Fax:
Practice Address - Street 1:4000 SPYGLASS LN
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-3060
Practice Address - Country:US
Practice Address - Phone:405-722-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK123251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management