BACK TO BASICS CHIROPRACTIC. PLLC NPI 1457711582

NPI Information

BACK TO BASICS CHIROPRACTIC., PLLC is a chiropractor in Broken Arrow, 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. BACK TO BASICS CHIROPRACTIC., PLLC NPI is 1457711582. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Carlene A Bolen Dc.

The provider's business location address is:

845 N ASPEN AVE
BROKEN ARROW, OK
ZIP 74012-242
Phone: (918) 251-8800
Fax: (918) 251-8802

The provider's authorized official is Carrie A Burks .
The authorized official title is Billing Manager and has the following contact phone number (918) 251-8800.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 3/2/2016.

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:

Other Identifiers

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

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