Provider Demographics
NPI:1992716989
Name:BATSON-BRAGGS, SONDRA (DC)
Entity type:Individual
Prefix:DR
First Name:SONDRA
Middle Name:
Last Name:BATSON-BRAGGS
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:PO BOX 720667
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172-0667
Mailing Address - Country:US
Mailing Address - Phone:405-943-3025
Mailing Address - Fax:405-943-3025
Practice Address - Street 1:4220 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-2640
Practice Address - Country:US
Practice Address - Phone:405-943-3025
Practice Address - Fax:405-943-3025
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor