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Contact Information

CLEVELAND CHIROPRACTIC CLINIC INC
312 S BROADWAY STREET
CLEVELAND, OK74020
 Phone: 918-358-3376
 Fax: 918-358-3376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CLEVELAND CHIROPRACTIC CLINIC INC

NPI Number 1134260961
LBN Legal business name CLEVELAND CHIROPRACTIC CLINIC INC
Authorized official S BLYTHE - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 2247
OK Other 731237629001 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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