| Go Lightly Chiropractic Revolution Wellness | |
|
205 E Grand Ave, Ponca City, OK 74601-4318 | |
| (580) 382-4560 | |
| (580) 382-4360 |
| Full Name | Go Lightly Chiropractic Revolution Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 205 E Grand Ave, Ponca City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740711951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4211 (Oklahoma) | Primary |
| Provider Name | Seth Charles Raye Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477931574 PECOS PAC ID: 6709189178 Enrollment ID: I20160119000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Go Lightly Chiropractic Revolution Wellness 205 E Grand Ave, Ponca City, OK 74601-4318 Ph: (580) 382-4560 | Go Lightly Chiropractic Revolution Wellness 205 E Grand Ave, Ponca City, OK 74601-4318 Ph: (580) 382-4560 |
Triad Family Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3004 Turner St, Ponca City, OK 74604 Phone: 580-749-5346 Fax: 580-749-5347 | |
Blanton Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 101 E Broadway Ave, Ponca City, OK 74601 Phone: 580-765-2482 Fax: 580-765-4852 | |
Dr. Scott Thomas Kirkpatrick Sr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 300 N 5th St, Ponca City, OK 74601 Phone: 580-762-1291 Fax: 580-762-0379 | |
Dr. Chris Allen Humble, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 508 E Fresno Ave, Ponca City, OK 74601 Phone: 580-762-1122 Fax: 580-762-1157 | |
Dr. Marty Vaughn Farquharson, CHIROPRACTIC PHYSICI Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 900 E Hartford Ave, Ponca City, OK 74601 Phone: 580-765-1164 Fax: 580-765-2464 | |
Davis Chiropractic Clinic, P. C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 102 N 5th St, Ponca City, OK 74601 Phone: 580-762-4476 Fax: 580-762-7420 | |
Dr. Jerimy Todd Cox, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1043 N Union St, Ponca City, OK 74601 Phone: 580-762-1500 |