Provider Demographics
NPI:1528187564
Name:UNGERLAND CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:UNGERLAND CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:UNGERLAND
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:918-743-2555
Mailing Address - Street 1:7718 E 91ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6052
Mailing Address - Country:US
Mailing Address - Phone:918-743-2555
Mailing Address - Fax:918-743-2583
Practice Address - Street 1:7718 E 91ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6052
Practice Address - Country:US
Practice Address - Phone:918-743-2555
Practice Address - Fax:918-743-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty