Individual
DR. JARED JOHN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4045 NW 64TH ST STE 160, OKLAHOMA CITY, OK 73116-1657
(405) 659-5418
Mailing address
4045 NW 64TH ST STE 160, OKLAHOMA CITY, OK 73116-1657
(405) 659-5418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3918
OK
111N00000X
Chiropractor
8185842-1202
UT
Other
Enumeration date
02/04/2009
Last updated
12/28/2015
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