Provider Demographics
NPI:1528019031
Name:LOVETTE, JASON O (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:O
Last Name:LOVETTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9045 HARMONY DR
Mailing Address - Street 2:LOVETTE CHIROPRACTIC CLINIC
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6217
Mailing Address - Country:US
Mailing Address - Phone:405-733-3388
Mailing Address - Fax:405-733-8047
Practice Address - Street 1:9045 HARMONY DR
Practice Address - Street 2:LOVETTE CHIROPRACTIC CLINIC
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6217
Practice Address - Country:US
Practice Address - Phone:405-733-3388
Practice Address - Fax:405-733-8047
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKU53867Medicare UPIN
OK800522180Medicare ID - Type UnspecifiedMEDICARE IDENTIFYER