Provider Demographics
NPI:1508126582
Name:DOWNING CHIROPRACTIC CLINIC OF YUKON INC.
Entity Type:Organization
Organization Name:DOWNING CHIROPRACTIC CLINIC OF YUKON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-354-0994
Mailing Address - Street 1:105 E VANDAMENT AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4706
Mailing Address - Country:US
Mailing Address - Phone:405-353-0994
Mailing Address - Fax:405-354-0995
Practice Address - Street 1:105 E VANDAMENT AVE
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4706
Practice Address - Country:US
Practice Address - Phone:405-353-0994
Practice Address - Fax:405-354-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty