Provider Demographics
NPI:1003990342
Name:OCHSNER CHIROPRACTIC CENTRE, PC
Entity Type:Organization
Organization Name:OCHSNER CHIROPRACTIC CENTRE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:L
Authorized Official - Last Name:OCHSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-492-1618
Mailing Address - Street 1:7877 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3456
Mailing Address - Country:US
Mailing Address - Phone:918-492-1618
Mailing Address - Fax:
Practice Address - Street 1:7877 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3456
Practice Address - Country:US
Practice Address - Phone:918-492-1618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty