Organization
CARVER CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GWIN CARVER D.C. (PRESIDENT)
(405) 285-2244
Entity
Organization
Contact information
Practice address
2805 S BRYANT AVENUE, SUITE C, EDMOND, OK 73013-6158
(405) 285-2244
(405) 285-0004
Mailing address
2805 S BRYANT AVENUE, SUITE C, EDMOND, OK 73013-6158
(405) 285-2244
(405) 285-0004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2595
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446727707003
BLUE CROSS / BLUE SHIELD
OK
Enumeration date
05/20/2006
Last updated
09/17/2009
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