Organization
BACK TO HEALTH CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ALLEN DIVIS D.C. (PRESIDENT/OWNER)
(405) 258-0014
Entity
Organization
Contact information
Practice address
1206 MANVEL AVE STE B, CHANDLER, OK 74834-4401
(405) 258-0014
(405) 258-0094
Mailing address
PO BOX 128, CHANDLER, OK 74834-0128
(405) 258-0014
(405) 258-0094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3592
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446605938 003
BLUE CROSS/BLUE SHIELD
OK
01
—
P00135785 DB9021
RAILROAD MEDICARE
OK
Enumeration date
07/25/2006
Last updated
09/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us