Northside Family Chiropractic PLLC
Chiropractor in Owasso, OK. Organization (NPI-2).
NPI number1609009596
StatusActive
Last updated in NPPESAug 26, 2009
Details
- NPI
- 1609009596
- Entity type
- Organization (NPI-2)
- Legal business name
- Northside Family Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2009
- Last updated
- Aug 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3945 | OK | Yes |
| 111N00000X | Chiropractor | 3944 | OK |
Practice location
13720 E 86th St NSuite 130
Owasso, OK 74055-8704
Phone 918-274-3888 · Fax 918-274-3894
Mailing address
13720 E 86th St NSuite 130
Owasso, OK 74055-8704
Phone 918-274-3888 · Fax 918-274-3894
Authorized official
Stefanie Marie Jones
Member
9182743888
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