Provider Demographics
NPI:1619180478
Name:L DENNIS DOAN, DC, PLLC
Entity Type:Organization
Organization Name:L DENNIS DOAN, DC, PLLC
Other - Org Name:DOAN FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:L DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-621-5617
Mailing Address - Street 1:12411 N ROCKWELL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2704
Mailing Address - Country:US
Mailing Address - Phone:405-621-5617
Mailing Address - Fax:405-621-5619
Practice Address - Street 1:12411 N ROCKWELL AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-2704
Practice Address - Country:US
Practice Address - Phone:405-621-5617
Practice Address - Fax:405-621-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty