Provider Demographics
NPI:1952653750
Name:FULL CIRCLE HEALTH CLINICS INC
Entity Type:Organization
Organization Name:FULL CIRCLE HEALTH CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SCHRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-753-9355
Mailing Address - Street 1:3601 S. BROADWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013
Mailing Address - Country:US
Mailing Address - Phone:405-753-9355
Mailing Address - Fax:405-753-9478
Practice Address - Street 1:3601 S. BROADWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:405-753-9355
Practice Address - Fax:405-753-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty