Provider Demographics
NPI:1881054336
Name:WILL FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:WILL FAMILY CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:QUINN
Authorized Official - Last Name:WILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-314-3329
Mailing Address - Street 1:1826 E 15TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4637
Mailing Address - Country:US
Mailing Address - Phone:918-340-5923
Mailing Address - Fax:918-340-5949
Practice Address - Street 1:1826 E 15TH ST STE D
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4637
Practice Address - Country:US
Practice Address - Phone:918-340-5923
Practice Address - Fax:918-340-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty