Provider Demographics
NPI:1467843045
Name:CHAMBERS CHIROPRACTIC & WELLNESS
Entity type:Organization
Organization Name:CHAMBERS CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TREY
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-699-2202
Mailing Address - Street 1:2310 E GORE BLVD
Mailing Address - Street 2:STE. 5
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-6130
Mailing Address - Country:US
Mailing Address - Phone:580-699-2202
Mailing Address - Fax:580-699-2207
Practice Address - Street 1:2310 E GORE BLVD
Practice Address - Street 2:STE. 5
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-6130
Practice Address - Country:US
Practice Address - Phone:580-699-2202
Practice Address - Fax:580-699-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty