Noble Chiropractic Center P.C.
Organization Active NPI Chiropractor · Noble, OK
NPI 1982898433 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1982898433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2639 (OK)
- Legal business name
- NOBLE CHIROPRACTIC CENTER P.C.
- Practice address
- 1101 Parkwoods Dr
Noble, OK 73068 - Phone
- (405) 872-5868
- Fax
- (405) 872-5887
- NPI assigned
- Aug 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Clifford John Gilson, DC
- Title
- Owner
- Phone
- (405) 872-5868
Practitioners 3
-
Eric John Choate, D.C.
-
Robert Brian Wade, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041012001419 | OK | Part B Supplier - Clinic/Group Practice | 4688634876 |
Receives reassigned benefits from 1 practitioner Practice locations: Noble, OK |
National Provider Directory
Locations
1101 Parkwoods Dr
Noble, OK 73068
Phone (405) 872-5868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2639 | OK | Yes |
Addresses
Primary practice location
1101 Parkwoods Dr
Noble, OK 73068
Mailing address
PO Box 2065
Noble, OK 73068-2065
Phone (405) 872-5868
Other providers in Noble, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. 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.