CHIROPRACTIC WELLNESS CENTER PLLC NPI 1083808414

NPI Information

NPI: 1083808414
Provider Name: CHIROPRACTIC WELLNESS CENTER PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2442 E 21ST ST
TULSA, OK
ZIP 74114
Phone: (918) 742-0560
Get Directions

CHIROPRACTIC WELLNESS CENTER PLLC is a chiropractor in Tulsa, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CHIROPRACTIC WELLNESS CENTER PLLC NPI is 1083808414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2442 E 21ST ST
TULSA, OK
ZIP 74114-749
Phone: (918) 742-0560
Fax: (918) 742-0605

The provider's authorized official is Lance A Hoose .
The authorized official title is President and has the following contact phone number (918) 742-0560.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 9/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3417	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U69569	MEDICARE UPIN	OKLAHOMA
2	OKA100463	MEDICARE PIN	OKLAHOMA
3	=========001	OTHER	OKLAHOMA	BLUE CROSS
4	P00265256	OTHER	OKLAHOMA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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