Provider Demographics
NPI:1396820544
Name:ABSOLUTE HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CHIROPRACTIC
Other - Org Name:RETURN TO HEALTH CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:FONT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-634-0042
Mailing Address - Street 1:8901 S SANTA FE AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8413
Mailing Address - Country:US
Mailing Address - Phone:405-634-0042
Mailing Address - Fax:405-632-7976
Practice Address - Street 1:8901 S SANTA FE AVE
Practice Address - Street 2:STE. A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8413
Practice Address - Country:US
Practice Address - Phone:405-634-0042
Practice Address - Fax:405-632-7976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3682111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty