Organization
PROACTIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GLENN DC (OWNER)
(405) 801-3665
Entity
Organization
Contact information
Practice address
6401 N INTERSTATE DR STE 148, NORMAN, OK 73069-9524
(405) 801-3665
(405) 801-3666
Mailing address
6401 N INTERSTATE DR STE 148, NORMAN, OK 73069-9524
(405) 801-3665
(405) 801-3666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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