Provider Demographics
NPI:1447643192
Name:CHAI, JEREMIAH KAMALANI (DC)
Entity type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:KAMALANI
Last Name:CHAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 E TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-5731
Mailing Address - Country:US
Mailing Address - Phone:918-224-0546
Mailing Address - Fax:866-426-5071
Practice Address - Street 1:1036 E TAFT AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-5731
Practice Address - Country:US
Practice Address - Phone:918-224-0546
Practice Address - Fax:866-426-5071
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor