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Contact Information

JAKE LANDRETH, DC, INC
108 N. BROADWAY
SKIATOOK, OK74070
 Phone: 918-396-2848
 Fax: 318-553-8802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JAKE LANDRETH, DC, INC

NPI Number 1578950952
LBN Legal business name JAKE LANDRETH, DC, INC
Authorized official JAKE LANDRETH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2015
Last updated 07/08/2025 - About 11 months ago
Identifiers
OK License # 4002
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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