Provider Demographics
NPI:1801962824
Name:WELCH, CECIL FLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:CECIL
Middle Name:FLOYD
Last Name:WELCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 NW 50TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2295
Mailing Address - Country:US
Mailing Address - Phone:405-949-0434
Mailing Address - Fax:405-949-0330
Practice Address - Street 1:4430 NW 50TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2295
Practice Address - Country:US
Practice Address - Phone:405-949-0434
Practice Address - Fax:405-949-0330
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKQDCCKMedicare ID - Type Unspecified