Divis, Roger Allen
Divis, Roger Allen is an sole proprietor health care provider with primary practice located at 910 E 1St St , Chandler OK 74834-2404. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Divis, Roger Allen can be contacted via phone (405) 258-0014.Contact Information
Primary practice address
910 E 1St St
Chandler OK 74834-2404
Phone: (405) 258-0014
Fax: (405) 258-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3592 | Oklahoma |
Profile Details
| NPI number | 1639191208 |
|---|---|
| LBN Legal business name | Divis, Roger Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639191208 | NPPES |
| Oklahoma | Other | P00135785 DB9021 | RAILROAD MEDICARE |
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