Organization
CLEVELAND CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S J BLYTHE III DC (OWNER PRESIDENT)
(918) 358-3376
Entity
Organization
Contact information
Practice address
312 S BROADWAY STREET, CLEVELAND, OK 74020
(918) 358-3376
(918) 358-3376
Mailing address
312 S BROADWAY STREET, CLEVELAND, OK 74020
(918) 358-3376
(918) 358-3376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2247
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731237629001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
02/12/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up