MEDICARE: WELCH PAIN RELIEF CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1996	OK

General Provider Information

NPI Number	:	1326366972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELCH PAIN RELIEF CENTER INC

Provider Business Mailing Address
First Line	:	4430 NW 50TH STREET
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2298
Country	:	US
Telephone Number	:	405-949-0434
Fax Number	:	405-949-0330

Provider Business Practice Location Address
First Line	:	4430 NW 50TH
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2298
Country	:	US
Telephone Number	:	405-949-0434
Fax Number	:	405-949-0330

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. CECIL FLOYD WELCH
Credential	:	DC
Telephone Number	:	405-949-0434

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	07/24/2012

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