SKIATOOK MEDICAL LLC NPI 1881887214

NPI Information

NPI: 1881887214
Provider Name: SKIATOOK MEDICAL LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
203 S HOMINY AVE
SKIATOOK, OK
ZIP 74070
Phone: (918) 396-9000
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SKIATOOK MEDICAL LLC is a chiropractor in Skiatook, 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. SKIATOOK MEDICAL LLC NPI is 1881887214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 S HOMINY AVE
SKIATOOK, OK
ZIP 74070-975
Phone: (918) 396-9000
Fax: (918) 396-0119

The provider's authorized official is Robert Lee Johnson .
The authorized official title is Manager and has the following contact phone number (918) 396-9000.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.

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		3150	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	T33004	MEDICARE UPIN	OKLAHOMA

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

NPI Synchronization or Removal

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