| Organization Name: | CHIROPRACTIC SERVICES, INC |
| NPI Number: | 1225154396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERRY ELLIS (OFFICE ADMINISTRTOR) |
| Mailing Address: | 2400 N Commerce St Suite 103 Ardmore |
| State: | OK US |
| Postal Code: | 734011438 |
| Phone Number: | 5802234858 |
| Fax Number: | 5802266111 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 1596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |