MEDICARE: DR. JOHN D. CHIAF JR. D.C

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
1	111N00000X	Chiropractor	2384	OK

General Provider Information

NPI Number	:	1346221850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN D. CHIAF JR. D.C

Provider Business Mailing Address
First Line	:	7236 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1543
Country	:	US
Telephone Number	:	405-721-1101
Fax Number	:	405-722-1029

Provider Business Practice Location Address
First Line	:	7236 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1543
Country	:	US
Telephone Number	:	405-721-1101
Fax Number	:	405-722-1029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	04/17/2024

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