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SPINE SPA PLLC NPI 1376046433


NPI Information

NPI: 1376046433
Provider Name: SPINE SPA PLLC

Former Legal Business Name: SNEWO, PLLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7302 S YALE AVE
TULSA, OK
ZIP 74136
Phone: (918) 671-8805
Get Directions

SPINE SPA 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. SPINE SPA PLLC NPI is 1376046433. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Snewo, Pllc.

The provider's business location address is:

7302 S YALE AVE
TULSA, OK
ZIP 74136-027
Phone: (918) 671-8805

The provider's authorized official is John Armstrong Owens .
The authorized official title is Chiropractor/owner and has the following contact phone number (918) 671-8805.

The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4231OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PTAN587456AD7UMEDICAIDOKLAHOMA

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

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