Healthcare Provider Details

I. General information

NPI: 1821051897
Provider Name (Legal Business Name): BETTY JEAN LOK DC CCSP DIANM DABCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETTY JEAN PROPECK DC

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1030
US

IV. Provider business mailing address

714 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1030
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-9490
  • Fax: 419-294-2946
Mailing address:
  • Phone: 419-294-9490
  • Fax: 419-294-2946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2412
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number5499
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number463
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: