Healthcare Provider Details

I. General information

NPI: 1548441181
Provider Name (Legal Business Name): CHRIS A VANNARATH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12831 STRATFORD DR APT. #207
OKLAHOMA CITY OK
73120-8495
US

IV. Provider business mailing address

2900 N CLASSEN BLVD SUITE E
OKLAHOMA CITY OK
73106-5422
US

V. Phone/Fax

Practice location:
  • Phone: 405-314-0900
  • Fax:
Mailing address:
  • Phone: 405-314-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3837
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: