Impact Chiropractic Clinic Inc Pc in Broken Arrow - Chiropractor
Impact Chiropractic Clinic Inc Pc - NPI 1073732087
Impact Chiropractic Clinic Inc Pc is a Chiropractor in Broken Arrow, Oklahoma. Impact Chiropractic Clinic Inc Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Impact Chiropractic Clinic Inc Pc is 1073732087. The last update date is 2009-12-15.
Impact Chiropractic Clinic Inc Pc's current location address is 4705 W Urbana, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188936400 and fax number 9188936402. The mailing address for Impact Chiropractic Clinic Inc Pc is 4705 W Urbana, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impact Chiropractic Clinic Inc Pc |
|---|---|
| Address | 4705 W Urbana, Broken Arrow, Oklahoma |
| Phone Number | 9188936400 |
| Fax Number | 9188936402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Dehnhardt D Kelley |
| Telephone Number | 9188936400 |
NPI Number Detail
| NPI Number | 1073732087 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2009-12-15 |
Provider Mailing Address Detail
| Address | 4705 W Urbana |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740125998 |
| Phone Number | 9188936400 |
| Fax Number | 9188936402 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2589 |
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Definition: 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 inte |
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What is the unique provider identifier assigned to Impact Chiropractic Clinic Inc Pc?
The Impact Chiropractic Clinic Inc Pc has been issued the NPI (National Provider Identifier) 1073732087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Impact Chiropractic Clinic Inc Pc is physically located?
The Impact Chiropractic Clinic Inc Pc is physically situated at the following address: 4705 W Urbana, Broken Arrow, OK, 740125998.
What is the Impact Chiropractic Clinic Inc Pc's specialty and taxonomy code?
The Impact Chiropractic Clinic Inc Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073732087 to Impact Chiropractic Clinic Inc Pc?
The Impact Chiropractic Clinic Inc Pc received its 1073732087 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information related to Impact Chiropractic Clinic Inc Pc most recently updated or refreshed?
The details pertaining to the Impact Chiropractic Clinic Inc Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-15.