Individual
DR. MATTHEW I JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5824 NW 135TH ST, OKLAHOMA CITY, OK 73142-5938
(408) 379-0133
Mailing address
5824 NW 135TH ST, OKLAHOMA CITY, OK 73142-5938
(408) 379-0133
(408) 379-3931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200499248
CURRENT TAX ID
CA
01
—
770419174
PREVIOUS TAX ID
CA
Enumeration date
05/19/2006
Last updated
12/20/2024
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