Organization
LJG INC
Active
Other names
Chiropractic Physicians Clinic George F Gorton DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE FRANKLIN GORTON DC (VICE PRESIDENT LJG INC)
(405) 542-6853
Entity
Organization
Contact information
Practice address
200 N NOBLE, HINTON, OK 73047-0238
(405) 542-6853
(405) 542-3339
Mailing address
PO BOX 238, 200 N NOBLE, HINTON, OK 73047-0238
(405) 542-6853
(405) 542-3339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2404
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441421822002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
12/13/2006
Last updated
08/22/2020
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