CCM Chiropractic LLC

Chiropractor · Locust Grove, OK

Organization Active NPI

NPI number 1437475282

Practice location

413 E Main St
Locust Grove, OK 74352
Phone
(918) 479-2827

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NPI record

NPI
1437475282
Entity type
Organization (Type 2)
Enumeration date
April 19, 2010
Last updated
April 19, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3649 OK

Mailing address

PO Box 1471
Locust Grove, OK 74352-1471
Phone
(918) 479-2827

Authorized official

Name
Dr. Clinton C. Moore, D. C.
Title
Chiropractor
Phone
(918) 479-2827

About CCM Chiropractic LLC

CCM Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 413 E Main St, Locust Grove, OK 74352. The NPI number 1437475282 was assigned on April 19, 2010 and the record was last updated on April 19, 2010.

CCM Chiropractic LLC lists a license in the registry: #3649 (OK) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Clinton C. Moore, D. C., Chiropractor.

Frequently asked questions

What is the NPI number of CCM Chiropractic LLC?

The NPI number is 1437475282.

What is the phone number of CCM Chiropractic LLC?

The phone number listed for the practice location is (918) 479-2827.

Where is CCM Chiropractic LLC located?

413 E Main St, Locust Grove, OK 74352.

What is the taxonomy code for CCM Chiropractic LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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