Provider Demographics
NPI:1316404379
Name:HUSKEY, CHANDLER N (DO)
Entity Type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:N
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 E 51ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3610
Mailing Address - Country:US
Mailing Address - Phone:918-747-0939
Mailing Address - Fax:918-747-3939
Practice Address - Street 1:3820 E 51ST ST STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3610
Practice Address - Country:US
Practice Address - Phone:918-747-0939
Practice Address - Fax:918-747-3939
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor