Provider Demographics
NPI:1831266337
Name:NEEMANCHIROPRACTIC, INC.
Entity type:Organization
Organization Name:NEEMANCHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-749-3950
Mailing Address - Street 1:4100 E 51ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3628
Mailing Address - Country:US
Mailing Address - Phone:918-749-3950
Mailing Address - Fax:918-749-3595
Practice Address - Street 1:4100 E 51ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3628
Practice Address - Country:US
Practice Address - Phone:918-749-3950
Practice Address - Fax:918-749-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK509469712-002OtherBCBS
OK4358276OtherAETNA
OK509469712-002OtherBCBS