| Complete Care Chiropractic | |
|
435 E 2nd Ave Owasso OK 74055-3208 | |
| (918) 272-8054 | |
| Not Available |
| Full Name | Complete Care Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 435 E 2nd Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Jonathan Ballard (DOCTOR) |
| Authorized Official Contact | 9182728054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Chiropractic 435 E 2nd Ave Owasso OK 74055-3208 Ph: (918) 272-8054 | Complete Care Chiropractic 435 E 2nd Ave Owasso OK 74055-3208 Ph: (918) 272-8054 |
| NPI Number | 1154744217 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9032340732 |
|---|---|
| Medicare Enrollment ID | O20140321001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154744217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4148 (Oklahoma) | Primary |
| Provider Name | Jonathan Dewitt Ballard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134542285 PECOS PAC ID: 0941431647 Enrollment ID: I20140321001606 |
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