Justin Ray Phillips in Teucumseh - Chiropractor
Justin Ray Phillips - NPI 1295821874
Justin Ray Phillips is a Chiropractor in Teucumseh, Oklahoma. Justin Ray Phillips practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Justin Ray Phillips is 1295821874. The last update date is 2007-07-08.
Justin Ray Phillips's current location address is 602 N. Broadway, Teucumseh, Oklahoma. You can contact this provider via phone number 4055986768 and fax number 4055986770. The mailing address for Justin Ray Phillips is 602 N. Broadway, Teucumseh, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Ray Phillips |
|---|---|
| Address | 602 N. Broadway, Teucumseh, Oklahoma |
| Phone Number | 4055986768 |
| Fax Number | 4055986770 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1295821874 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 602 N. Broadway |
|---|---|
| City | Teucumseh |
| State | Oklahoma (OK) |
| Post Code | 74873 |
| Phone Number | 4055986768 |
| Fax Number | 4055986770 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3465 |
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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 Justin Ray Phillips by the Centers for Medicare & Medicaid Services?
The Justin Ray Phillips has been assigned the NPI (National Provider Identifier) 1295821874. 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 Justin Ray Phillips?
The Justin Ray Phillips is situated at 602 N. Broadway, in the city of Teucumseh, state of OK, with the zip code 74873.
What is Justin Ray Phillips's specialized field of practice, and what is the corresponding taxonomy classification code?
The Justin Ray Phillips's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When did Justin Ray Phillips receive its 1295821874 assignment?
The Justin Ray Phillips was assigned its 1295821874 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
When was the information related to Justin Ray Phillips most recently updated or refreshed?
The details pertaining to the Justin Ray Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.