Lifeback Chiropractic PLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3848 Issued in OK

Legal business name

LIFEBACK CHIROPRACTIC PLC

Practice address

1101 N Harrison St Ste B
Shawnee, OK 74801-5205

Phone

(405) 328-1201

NPI assigned

Dec 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Edward Wojciechowski III, D.C.

Title

Dr.

Phone

(405) 328-1201

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1144466962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "EARLSBORO",
            "state": "OK",
            "postal_code": "748400235",
            "telephone_number": "405-328-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N HARRISON ST STE B",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015205",
            "telephone_number": "405-328-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBACK CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "WOJCIECHOWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "405-328-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OK",
            "license": "3848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Point of Service in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.