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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

NPI # 1437475282
LBN Legal business name CCM CHIROPRACTIC LLC
Authorized official CLINTON MOORE - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2010
Last updated 04/19/2010 - About 16 years ago
Identifiers
OK License # 3649
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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