Chiropractic Physicians Clinic
Organization Active NPI Chiropractor · Weatherford, OK
NPI 1912936667 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1912936667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2452 (OK)
- Legal business name
- CHIROPRACTIC PHYSICIANS CLINIC
- Practice address
- 4200 Carriage Way
Weatherford, OK 73096-9614 - Phone
- (580) 774-2214
- Fax
- (580) 774-2843
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Douglas B Cook, D.C.
- Title
- President
- Phone
- (580) 774-2214
Practitioners 2
-
Douglas B Cook, D.C.
-
Jim Bui, ATC, LAT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060909000040 | OK | Part B Supplier - Clinic/Group Practice | 8921002700 |
Receives reassigned benefits from 1 practitioner Practice locations: Weatherford, OK |
National Provider Directory
Locations
1108 N Washington St
Weatherford, OK 73096
Phone (580) 774-2214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2452 | OK | Yes |
Addresses
Primary practice location
4200 Carriage Way
Weatherford, OK 73096-9614
Mailing address
4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214
Other names
- Oklahoma Health and Wellness Center
Other providers in Weatherford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. 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.