National Provider Identifier Database

CLEVELAND CHIROPRACTIC CLINIC INC
Chiropractor

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 interrelationship with other body systems.


Contact Information

CLEVELAND CHIROPRACTIC CLINIC INC
312 S BROADWAY STREET
CLEVELAND, OK74020
Phone: 918-358-3376
Fax: 918-358-3376
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CLEVELAND CHIROPRACTIC CLINIC INC

NPI Number 1134260961
Legal business name
LBN
CLEVELAND CHIROPRACTIC CLINIC INC
Authorized official S BLYTHE - (OWNER PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 2247
  • OK Other: 731237629001 BLUE CROSS BLUE SHIELD

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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