Provider Demographics
NPI:1841590031
Name:SCHLUTER, JASON FORREST (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:FORREST
Last Name:SCHLUTER
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 1:5424 S MEMORIAL DR
Mailing Address - Street 2:STE. C1
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9003
Mailing Address - Country:US
Mailing Address - Phone:918-664-3571
Mailing Address - Fax:918-664-3578
Practice Address - Street 1:5424 S MEMORIAL DR
Practice Address - Street 2:STE. C1
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9003
Practice Address - Country:US
Practice Address - Phone:918-664-3571
Practice Address - Fax:918-664-3578
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor