Provider Demographics
NPI:1033487723
Name:SCHLUTER CHIROPRACTIC CLINICS INC
Entity Type:Organization
Organization Name:SCHLUTER CHIROPRACTIC CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLUTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-664-3571
Mailing Address - Street 1:5424 S MEMORIAL DR
Mailing Address - Street 2:C1
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5424 S MEMORIAL DR
Practice Address - Street 2:C1
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9003
Practice Address - Country:US
Practice Address - Phone:918-664-3571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKQDCFROtherMEDICARE PTAN