Provider Demographics
NPI:1497977813
Name:JOYCE CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:JOYCE CHIROPRACTIC, INC
Other - Org Name:JOYCE CHIROPRACTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-491-0301
Mailing Address - Street 1:3820 N ROCKWELL
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3379
Mailing Address - Country:US
Mailing Address - Phone:405-491-0301
Mailing Address - Fax:405-495-6862
Practice Address - Street 1:3820 N ROCKWELL
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-3379
Practice Address - Country:US
Practice Address - Phone:405-491-0301
Practice Address - Fax:405-495-6862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731046793001OtherBLUE CROSS BLUE SHIELD ID
OK1992725386OtherNPI
OK=========OtherTAX ID
OK=========OtherTAX ID
OKT75155Medicare UPIN