Provider Demographics
NPI:1427212810
Name:F J HUSKEY INC
Entity Type:Organization
Organization Name:F J HUSKEY INC
Other - Org Name:RICK (FREDRICK) HUSKEY CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-747-0939
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F J HUSKEY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3054111N00000X
OK3877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKT79957Medicare UPIN