Organization
POOL CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EUGENE POOL D.O. (DR. POOL)
(405) 756-3182
Entity
Organization
Contact information
Practice address
110 W CHOCTAW ST, LINDSAY, OK 73052-5417
(405) 756-3182
(405) 756-3182
Mailing address
110 W CHOCTAW ST, LINDSAY, OK 73052-5417
(405) 756-3182
(405) 756-3182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OK3518
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200195900A
—
OK
01
—
DA8367
MEDICARE PALMETTO GBA GRP
OK
01
—
P00074063
MEDICARE PALMETTO GBA PIN
OK
Enumeration date
10/26/2007
Last updated
08/06/2008
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