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DEREK MAKESCRY LLC NPI 1831465194


NPI Information

NPI: 1831465194
Provider Name: DEREK MAKESCRY LLC

Doing Business As: CLINTON CHIROPRACTIC CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
119 N 9TH ST
CLINTON, OK
ZIP 73601
Phone: (580) 323-4250
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DEREK MAKESCRY LLC is a clinic center in Clinton, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DEREK MAKESCRY LLC NPI is 1831465194. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinton Chiropractic Center.

The provider's business location address is:

119 N 9TH ST
CLINTON, OK
ZIP 73601-309
Phone: (580) 323-4250
Fax: (580) 323-4251

The provider's authorized official is Derek Makescry .
The authorized official title is Sole Member and has the following contact phone number (580) 323-4250.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 5/29/2012.


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
1261Q00000XClinic/Center4066OKLAHOMAYes

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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