Provider Demographics
NPI:1700070026
Name:GALLAGHER CHIROPRACTIC CENTRE
Entity Type:Organization
Organization Name:GALLAGHER CHIROPRACTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-747-7463
Mailing Address - Street 1:9118 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5332
Mailing Address - Country:US
Mailing Address - Phone:918-747-7463
Mailing Address - Fax:918-742-8482
Practice Address - Street 1:9118 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5332
Practice Address - Country:US
Practice Address - Phone:918-747-7463
Practice Address - Fax:918-742-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2537111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKU13509Medicare UPIN