| Lake Health And Chiropractic, Pllc | |
|
1107 E. 13th St., Suites A&b, Grove, OK 74344-7956 | |
| (918) 786-8834 | |
| (918) 786-6520 |
| Full Name | Lake Health And Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1107 E. 13th St., Suites A&b, Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073814596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3930 (Oklahoma) | Primary |
| Provider Name | Joseph M Ferguson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669601936 PECOS PAC ID: 8224182340 Enrollment ID: I20090824000495 |
| Provider Name | Sammie Jo Ferguson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265667836 PECOS PAC ID: 6204982374 Enrollment ID: I20090915000807 |
| Provider Name | Dusti Cheyenne Tatum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184106585 PECOS PAC ID: 4688066053 Enrollment ID: I20220114000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Health And Chiropractic, Pllc 1107 E. 13th St., Suites A&b, Grove, OK 74344-7956 Ph: (918) 786-8834 | Lake Health And Chiropractic, Pllc 1107 E. 13th St., Suites A&b, Grove, OK 74344-7956 Ph: (918) 786-8834 |
Allsup Chiropractic Clinic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1103 E 13th St Ste E, Grove, OK 74344 Phone: 918-787-6116 Fax: 918-787-6996 | |
Dr. Todd Allen East, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 80 W 7th St, Grove, OK 74344 Phone: 918-787-6700 Fax: 918-787-2846 | |
Grand Lake Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 240 E 3rd St, Suite C, Grove, OK 74344 Phone: 918-786-2442 Fax: 918-786-2634 | |
Dr. Larry E. Stout, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1107 E 13th St, Suite A & B, Grove, OK 74344 Phone: 918-786-8834 Fax: 918-786-6520 | |
Dr. Paul Daniel Allsup, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 E 13th St, Suite E, Grove, OK 74344 Phone: 918-787-6116 | |
Dr. Sammie Jo Ferguson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1107 E 13th St., Suites A&b, Grove, OK 74344 Phone: 918-786-8834 Fax: 918-786-6520 |