Allsup Chiropractic Clinic Inc.
Organization Active NPI Chiropractor · Grove, OK
NPI 1023219946 · NPPES record last updated Dec 13, 2011
Key facts
- NPI
- 1023219946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ALLSUP CHIROPRACTIC CLINIC INC.
- Practice address
- 1103 E 13TH St Ste E
Grove, OK 74344-7935 - Phone
- (918) 787-6116
- Fax
- (918) 787-6996
- NPI assigned
- May 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul D. Allsup, D.C.
- Title
- Owner
- Phone
- (918) 787-2112
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140320000846 | OK | Part B Supplier - Clinic/Group Practice | 0941431779 |
Receives reassigned benefits from 2 practitioners Practice locations: Grove, OK |
National Provider Directory
Locations
1103 E 13th St
Ste E
Grove, OK 74344
Phone (918) 787-6116
309 W 3rd St
Grove, OK 74344
Phone (918) 787-6116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | OK | Yes |
Addresses
Primary practice location
1103 E 13TH St Ste E
Grove, OK 74344-7935
Mailing address
1103 E 13TH St Ste E
Grove, OK 74344-7935
Phone (918) 787-6116
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.