Provider Demographics
NPI:1497882732
Name:MONK, JAMES F (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:MONK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 W CHOCTAW AVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-2310
Mailing Address - Country:US
Mailing Address - Phone:405-222-1113
Mailing Address - Fax:405-222-1119
Practice Address - Street 1:816 W CHOCTAW AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2310
Practice Address - Country:US
Practice Address - Phone:405-222-1113
Practice Address - Fax:405-222-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MQDCLBOtherPTAN