MEDICARE: PRIMARY CHIROPRACTIC LLC INBALANCE CHIROPRACTIC & WELLNESS

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

General Provider Information

NPI Number	:	1548115793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CHIROPRACTIC LLC INBALANCE CHIROPRACTIC & WELLNESS

Provider Business Mailing Address
First Line	:	5300 N MERIDIAN AVE STE 6
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2137
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 N MERIDIAN AVE STE 6
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2137
Country	:	US
Telephone Number	:	405-445-6126
Fax Number	:	918-720-0272

Authorized Official
Title or Position	:	OWNER
Name	:	BRENT MATTHEW MCCALMON
Credential	:	DC
Telephone Number	:	405-445-6126

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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