Healthcare Provider Details

I. General information

NPI: 1447444849
Provider Name (Legal Business Name): STEFFINS CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11045 S MEMORIAL DR
TULSA OK
74133-7357
US

IV. Provider business mailing address

11045 S MEMORIAL DR
TULSA OK
74133-7357
US

V. Phone/Fax

Practice location:
  • Phone: 918-394-1444
  • Fax: 918-394-1446
Mailing address:
  • Phone: 918-394-1444
  • Fax: 918-394-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN MARK STEFFINS
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 918-394-1444