Organization
EITZEN CHIROPRACTIC PLLC
Active
Other names
Advanced Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADLEY EITZEN D.C. (CHIROPRACTOR)
(580) 237-5007
Entity
Organization
Contact information
Practice address
523 S INDEPENDENCE ST, ENID, OK 73701-5631
(580) 237-5007
(580) 234-6851
Mailing address
523 S INDEPENDENCE ST, ENID, OK 73701-5631
(580) 237-5007
(580) 234-6851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446902380001
BCBS PROVIDER NUMBER
OK
Enumeration date
01/29/2007
Last updated
08/22/2020
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