Provider Demographics
NPI:1669650412
Name:GLINSKY, BEVERLY LAROSA (DC)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:LAROSA
Last Name:GLINSKY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 S POST RD
Mailing Address - Street 2:STE B
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6613
Mailing Address - Country:US
Mailing Address - Phone:405-455-7555
Mailing Address - Fax:
Practice Address - Street 1:1712 S POST RD
Practice Address - Street 2:STE B
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6613
Practice Address - Country:US
Practice Address - Phone:405-455-7555
Practice Address - Fax:405-455-7556
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3868111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation