Provider Demographics
NPI:1639815699
Name:J. ROWE CHIROPRACTIC
Entity type:Organization
Organization Name:J. ROWE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:ISAIAH
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-310-7113
Mailing Address - Street 1:3289 CENTRAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160
Mailing Address - Country:US
Mailing Address - Phone:405-371-5152
Mailing Address - Fax:
Practice Address - Street 1:2751 36TH AVE NW STE 129
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2411
Practice Address - Country:US
Practice Address - Phone:405-310-7113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty