Provider Demographics
NPI:1619255163
Name:DRUMRIGHT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DRUMRIGHT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC'S
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:O
Authorized Official - Last Name:TREGONING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-352-2600
Mailing Address - Street 1:151 EAST BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DRUMRIGHT
Mailing Address - State:OK
Mailing Address - Zip Code:74030-3801
Mailing Address - Country:US
Mailing Address - Phone:918-352-2600
Mailing Address - Fax:918-352-2632
Practice Address - Street 1:151 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:DRUMRIGHT
Practice Address - State:OK
Practice Address - Zip Code:74030-3801
Practice Address - Country:US
Practice Address - Phone:918-352-2600
Practice Address - Fax:918-352-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T80034Medicare UPIN
391384648Medicare PIN