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WADE CHIROPRACTIC CLINIC INC NPI 1831113505


NPI Information

NPI: 1831113505
Provider Name: WADE CHIROPRACTIC CLINIC INC

Doing Business As: WEATHERFORD CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
500 N WASHINGTON ST STE 3
WEATHERFORD, OK
ZIP 73096
Phone: (580) 774-0611
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WADE CHIROPRACTIC CLINIC INC is a chiropractor in Weatherford, 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. WADE CHIROPRACTIC CLINIC INC NPI is 1831113505. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Weatherford Chiropractic.

The provider's business location address is:

500 N WASHINGTON ST STE 3
WEATHERFORD, OK
ZIP 73096-700
Phone: (580) 774-0611
Fax: (580) 774-0644

The provider's authorized official is Robert Brian Wade .
The authorized official title is Chiropractor and has the following contact phone number (580) 774-0611.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/21/2010.


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
1111N00000XChiropractor3711OKLAHOMAYes

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
1400522423MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMAGROUP #
2V01660MEDICARE UPINOKLAHOMA
3244516701MEDICARE PINOKLAHOMA

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: 5/5/2024

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