Provider Demographics
NPI:1598785925
Name:MANCHESTER, DONALD HARVEY (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:HARVEY
Last Name:MANCHESTER
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 1:231 E GRAY ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7205
Mailing Address - Country:US
Mailing Address - Phone:405-579-9844
Mailing Address - Fax:405-364-4611
Practice Address - Street 1:231 E GRAY ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7205
Practice Address - Country:US
Practice Address - Phone:405-579-9844
Practice Address - Fax:405-364-4611
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor