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Contact Information

MC CHIROPRACTIC CLINIC
2115 S HIGHWAY 69
WAGONER, OK74467
 Phone: 918-448-6180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MC CHIROPRACTIC CLINIC

NPI # 1376322685
LBN Legal business name MC CHIROPRACTIC CLINIC
Authorized official MARTIN SHEARWOOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2023
Last updated 09/26/2023 - About 3 years ago
Identifiers n/a
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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