Organization · Type 2 NPI
Lifeback Chiropractic PLC
Point of Service · Shawnee, OK
NPI number
1144466962
Active
Practice location
1101 N Harrison St Ste B
Shawnee, OK 74801-5205
Mailing address
PO Box 235
Earlsboro, OK 74840-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 3848 (OK) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1144466962
Lifeback Chiropractic PLC's National Provider Identifier is 1144466962, issued on Dec 29, 2008. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Shawnee, OK. The record was last updated on Dec 29, 2008.