| Ellison Chiropractic Llc | |
|
918 Nw 32nd St., Newcastle, OK 73065-1077 | |
| (405) 387-4011 | |
| (405) 387-4041 |
| Full Name | Ellison Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 918 Nw 32nd St., Newcastle, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982888327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3854 (Oklahoma) | Primary |
| Provider Name | Kyle J Ellison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639352206 PECOS PAC ID: 1557444817 Enrollment ID: I20080208000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellison Chiropractic Llc Po Box 1077, Newcastle, OK 73065-1077 Ph: (405) 387-4011 | Ellison Chiropractic Llc 918 Nw 32nd St., Newcastle, OK 73065-1077 Ph: (405) 387-4011 |
Dr. Stephen W. Mccan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3607 Nw 32nd St, Newcastle, OK 73065 Phone: 405-392-5504 Fax: 405-392-5501 | |
Dr. Caleb Foreman, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3607 Nw 32nd St, Newcastle, OK 73065 Phone: 405-392-5504 Fax: 405-392-5501 | |
Kyle John Ellison, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 918 N.w. 32nd Street, Suite Number 918, Newcastle, OK 73065 Phone: 405-387-4011 Fax: 405-387-4041 | |
Tri-city Chiropractic Clinic,p.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3607 Nw 32nd St, Newcastle, OK 73065 Phone: 405-392-5504 Fax: 405-392-5501 |