Grand Lake Chiropractic Pllc

LBN: Grand Lake Chiropractic Pllc
Grand Lake Chiropractic Pllc is an health care organization with primary practice located at 240 E 3Rd St Suite C, Grove OK 74344-7072. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Grand Lake Chiropractic Pllc can be contacted via phone (918) 786-2442, or through Schnell, Douglas L via phone (918) 786-2442.

Contact Information

Primary practice address
240 E 3Rd St Suite C Grove OK 74344-7072
Phone: (918) 786-2442
Fax: (918) 786-2634
Website:
Map and Directions
Authorized official contact:
Name: Schnell, Douglas L Doctor of Chiropractic (DC)
Phone: (918) 786-2442

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2575 Oklahoma

Profile Details

NPI number 1174777544
LBN Legal business name Grand Lake Chiropractic Pllc
DBA Doing business as
Authorized official Schnell, Douglas L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2008
Last updated Nov 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174777544 NPPES
Oklahoma MEDICAID 100724160A

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