Gregerson, Darryl Dodd

Gregerson, Darryl Dodd is an individual health care provider with primary practice located at 2518 E Kenosha St , Broken Arrow OK 74014-6712. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gregerson, Darryl Dodd can be contacted via phone (918) 286-2729.

Contact Information

Primary practice address
2518 E Kenosha St Broken Arrow OK 74014-6712
Phone: (918) 286-2729
Fax: (918) 286-0651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3878 Oklahoma

Profile Details

NPI number 1669587077
LBN Legal business name Gregerson, Darryl Dodd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 22nd, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669587077 NPPES
Iowa Other 46813 BLUE CROSS/BLUE SHIELD
Iowa MEDICAID 2118786 BLUE CROSS/BLUE SHIELD

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