Provider Demographics
NPI:1912123530
Name:GLOBAL ADMINISTRATION INCORPORATED
Entity Type:Organization
Organization Name:GLOBAL ADMINISTRATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-451-3737
Mailing Address - Street 1:512 W BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7021
Mailing Address - Country:US
Mailing Address - Phone:918-451-3737
Mailing Address - Fax:918-451-3741
Practice Address - Street 1:512 W BOSTON ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7021
Practice Address - Country:US
Practice Address - Phone:918-451-3737
Practice Address - Fax:918-451-3741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK513586056001OtherBLUE CROSS BLUE SHIELD
OK513586056001OtherBLUE CROSS BLUE SHIELD