Provider Demographics
NPI:1821467036
Name:FEATHERSTON CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FEATHERSTON CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHES
Authorized Official - Middle Name:
Authorized Official - Last Name:FEATHERSTON
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:913-951-9419
Mailing Address - Street 1:3315 E 47TH PL STE 120
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2914
Mailing Address - Country:US
Mailing Address - Phone:918-622-9655
Mailing Address - Fax:918-622-9657
Practice Address - Street 1:3315 E 47TH PL STE 120
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2914
Practice Address - Country:US
Practice Address - Phone:918-622-9655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1821467036OtherGROUP
1962809384OtherINDIVIDUAL NPI