MEDICARE: HUFFMAN 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	4017	OK

General Provider Information

NPI Number	:	1225336688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUFFMAN CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	8315 NW 16TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-3011
Country	:	US
Telephone Number	:	405-620-4136
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 S WESTERN AVE
Second Line	:	SUITE 112
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-2758
Country	:	US
Telephone Number	:	405-735-2744
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	RICHARD LOUIS HUFFMAN
Credential	:	D.C.
Telephone Number	:	405-789-1954

Provider Enumeration Date	:	03/09/2011
Last Update Date	:	06/22/2011

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