| Eric Widhelm Llc | |
|
2015 W Broadway St Ste 38, Ardmore, OK 73401-2501 | |
| (580) 798-2800 | |
| Not Available |
| Full Name | Eric Widhelm Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2015 W Broadway St Ste 38, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306193537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4064 (Oklahoma) | Primary |
| Provider Name | Eric J Widhelm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740588714 PECOS PAC ID: 5193902674 Enrollment ID: I20120823000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Widhelm Llc 2015 W Broadway St Ste 38, Ardmore, OK 73401-2501 Ph: (580) 798-2800 | Eric Widhelm Llc 2015 W Broadway St Ste 38, Ardmore, OK 73401-2501 Ph: (580) 798-2800 |
Dr. Jack Franklin Holmes Jr., DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 36 Tiffany Plaza, Ardmore, OK 73401 Phone: 580-226-3555 Fax: 580-226-3703 | |
Richard K Morris, D.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 N Commerce St, Ardmore, OK 73401 Phone: 580-226-3388 | |
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Holmes Chiropractic Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 36 Tiffany Plaza, Ardmore, OK 73401 Phone: 580-226-3555 Fax: 580-226-3703 | |
Vance Allen Long, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1122 Walnut Dr, Ardmore, OK 73401 Phone: 580-223-8200 Fax: 580-223-8212 | |
Dr. Patrick Michael Galles, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 919 N Washington St, Ardmore, OK 73401 Phone: 580-226-0483 Fax: 580-226-0483 |