Nichols Chiropractic, Llc | |
11462 S Union Ave Ste A, Jenks, OK 74037-6902 | |
(918) 512-8186 | |
Not Available |
Full Name | Nichols Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11462 S Union Ave Ste A, Jenks, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558727701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3981 (Oklahoma) | Primary |
Provider Name | Kasey M. Nichols |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063723849 PECOS PAC ID: 0345366050 Enrollment ID: I20100929001524 |
Mailing Address | Practice Location Address |
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Nichols Chiropractic, Llc 11462 S Union Ave Ste A, Jenks, OK 74037-6902 Ph: (918) 512-8186 | Nichols Chiropractic, Llc 11462 S Union Ave Ste A, Jenks, OK 74037-6902 Ph: (918) 512-8186 |
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