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Contact Information

JAVERSAK CHIROPRACTIC & SPINE CENTER, INC PC
1501 WADE WATTS AVE
MCALESTER, OK74501
 Phone: 918-423-1873
 Fax: 877-310-9896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JAVERSAK CHIROPRACTIC & SPINE CENTER, INC PC

NPI # 1649484627
LBN Legal business name JAVERSAK CHIROPRACTIC & SPINE CENTER, INC PC
Authorized official SHAYNE JAVERSAK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 09/16/2010 - About 16 years ago
Identifiers
OK License # 3488
OK Other 614305 ACN
OK Other 50390437701 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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