Travis J Dearmon in Broken Arrow - Chiropractor
Travis J Dearmon - NPI 1063603603
Travis J Dearmon is a Chiropractor in Broken Arrow, Oklahoma. Travis J Dearmon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Travis J Dearmon is 1063603603. The last update date is 2014-01-28.
Travis J Dearmon's current location address is 4412 W. Houston, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182548700 and fax number 9182548711. The mailing address for Travis J Dearmon is 4412 W. Houston, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis J Dearmon |
|---|---|
| Address | 4412 W. Houston, Broken Arrow, Oklahoma |
| Phone Number | 9182548700 |
| Fax Number | 9182548711 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1063603603 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2014-01-28 |
Provider Mailing Address Detail
| Address | 4412 W. Houston |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 74012 |
| Phone Number | 9182548700 |
| Fax Number | 9182548711 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3846 |
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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 identifier code issued to Travis J Dearmon by the Centers for Medicare & Medicaid Services?
The Travis J Dearmon has been assigned the NPI (National Provider Identifier) 1063603603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Travis J Dearmon?
The Travis J Dearmon is situated at 4412 W. Houston, in the city of Broken Arrow, state of OK, with the zip code 74012.
What is Travis J Dearmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Travis J Dearmon is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Travis J Dearmon receive the assignment of its 1063603603 from the Centers for Medicare & Medicaid Services?
The Travis J Dearmon was issued its 1063603603 by the Centers for Medicare & Medicaid Services on 2007-08-08.
When was the information pertaining to Travis J Dearmon most recently updated or revised?
The details related to Travis J Dearmon, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-28.
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