MEDICARE: WILL FAMILY CHIROPRACTIC, PLLC

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	4069	OK

General Provider Information

NPI Number	:	1881054336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILL FAMILY CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	1826 E 15TH ST STE D
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4637
Country	:	US
Telephone Number	:	918-340-5923
Fax Number	:	918-340-5949

Provider Business Practice Location Address
First Line	:	1826 E 15TH ST STE D
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4637
Country	:	US
Telephone Number	:	918-340-5923
Fax Number	:	918-340-5949

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AARON QUINN WILL
Credential	:	D.C.
Telephone Number	:	918-314-3329

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	03/21/2024

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