MEDICARE: ALSUP-BRIGGS INC

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	3422	OK

General Provider Information

NPI Number	:	1043513096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALSUP-BRIGGS INC

Provider Business Mailing Address
First Line	:	1141 SW 44TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3601
Country	:	US
Telephone Number	:	405-634-1304
Fax Number	:	405-634-1007

Provider Business Practice Location Address
First Line	:	1141 SW 44TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3601
Country	:	US
Telephone Number	:	405-634-1304
Fax Number	:	405-634-1007

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. WYLIE D BRIGGS
Credential	:	D.C.
Telephone Number	:	405-262-1300

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/18/2012

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Directions to “ALSUP-BRIGGS INC ” Practice Location

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