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NPI Code Detail

MEDICARE: CARDER CHIROPRACTIC CLINIC, INC.

MEDICARE: CARDER CHIROPRACTIC CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1414OK

General Provider Information

NPI Number : 1184751224
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDER CHIROPRACTIC CLINIC, INC.
Provider Business Mailing Address
First Line : 1008 S ROCK ISLAND AVE
Second Line :
City : EL RENO
State : OK
Zip : 73036-4757
Country : US
Telephone Number : 405-262-0548
Fax Number : 405-262-5232
Provider Business Practice Location Address
First Line : 1008 S ROCK ISLAND AVE
Second Line :
City : EL RENO
State : OK
Zip : 73036-4757
Country : US
Telephone Number : 405-262-0548
Fax Number : 405-262-5232
Authorized Official
Title or Position : PRESIDENT
Name : DR. KENT ELLIS CARDER
Credential : D.C.
Telephone Number : 405-262-0548
Provider Enumeration Date : 02/27/2007
Last Update Date : 08/22/2020

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Directions to “CARDER CHIROPRACTIC CLINIC, INC. ” Practice Location

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