Provider Demographics
NPI:1447439617
Name:HEALTH FIRST CHIROPRACTIC CLINIC PLLC
Entity type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC CLINIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:BATEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-456-1300
Mailing Address - Street 1:60 NW SHERIDAN RD STE 5
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-6338
Mailing Address - Country:US
Mailing Address - Phone:580-354-9009
Mailing Address - Fax:580-354-0303
Practice Address - Street 1:60 NW SHERIDAN RD STE 5
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6338
Practice Address - Country:US
Practice Address - Phone:580-354-9009
Practice Address - Fax:580-354-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKB5462Medicare PIN