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Contact Information

CCM CHIROPRACTIC LLC
413 E MAIN ST
LOCUST GROVE, OK74352
 Phone: 918-479-2827
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CCM CHIROPRACTIC LLC · (Female)

NPI # 1437475282
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2010
Last updated 04/19/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 3649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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