MEDICARE: LOVETTE CHIROPRACTIC CLINIC, INC. P.C.

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	261Q00000X	Clinic/Center	3214	OK

General Provider Information

NPI Number	:	1649442781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVETTE CHIROPRACTIC CLINIC, INC. P.C.

Provider Business Mailing Address
First Line	:	9045 HARMONY DR
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-6217
Country	:	US
Telephone Number	:	405-733-3388
Fax Number	:	405-733-8047

Provider Business Practice Location Address
First Line	:	9045 HARMONY DR
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-6217
Country	:	US
Telephone Number	:	405-733-3388
Fax Number	:	405-733-8047

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JASON O. LOVETTE
Credential	:	D.C.
Telephone Number	:	405-733-3388

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	08/13/2008

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