MEDICARE: ALVIN J PHILIPOSE DC

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	3611	OK

General Provider Information

NPI Number	:	1568476570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN J PHILIPOSE DC

Provider Business Mailing Address
First Line	:	7917 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-4540
Country	:	US
Telephone Number	:	405-848-7246
Fax Number	:	405-842-8290

Provider Business Practice Location Address
First Line	:	7917 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-4540
Country	:	US
Telephone Number	:	405-848-7246
Fax Number	:	405-842-8290

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/05/2014

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Directions to “ ALVIN J PHILIPOSE DC” Practice Location

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