Organization
SHEARWOOD CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN EVERETT SHEARWOOD I DC (PRESIDENT)
(918) 485-3785
Entity
Organization
Contact information
Practice address
909 W MAIN ST, STIGLER, OK 74462-2341
(918) 967-3900
(918) 967-3908
Mailing address
909 W MAIN ST, STIGLER, OK 74462-2341
(918) 967-3900
(918) 967-3908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2553
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027600002001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/27/2005
Last updated
01/24/2012
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