National Provider Identifier Database

TERA EGLESTON CHIROPRACTIC CLINIC PC
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

TERA EGLESTON CHIROPRACTIC CLINIC PC
9100 N GARNETT RD
SUITE I
OWASSO, OK74055
Phone: 918-274-2911
Fax: 918-274-2911
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for TERA EGLESTON CHIROPRACTIC CLINIC PC

NPI Number 1508965252
Legal business name
LBN
TERA EGLESTON CHIROPRACTIC CLINIC PC
Authorized official TERA EGLESTON - (DOCTOR OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 3469
  • OK Other: 446821654002 BCBS

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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