Provider Demographics
NPI:1356829725
Name:UNITED CHIROPRACTIC PHYSICIANS, LLP
Entity Type:Organization
Organization Name:UNITED CHIROPRACTIC PHYSICIANS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KATS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-770-5084
Mailing Address - Street 1:2016 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-8303
Mailing Address - Country:US
Mailing Address - Phone:918-286-3136
Mailing Address - Fax:
Practice Address - Street 1:413 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-7912
Practice Address - Country:US
Practice Address - Phone:918-246-5808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1417317611OtherNPI OF A PROVIDER WORKING FOR US