Provider Demographics
NPI:1912042292
Name:POST CLINIC OF CHIROPRACTIC PC
Entity Type:Organization
Organization Name:POST CLINIC OF CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-840-8900
Mailing Address - Street 1:4141 NW EXPRESSWAY ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1682
Mailing Address - Country:US
Mailing Address - Phone:405-840-8900
Mailing Address - Fax:405-840-8990
Practice Address - Street 1:4141 NW EXPRESSWAY ST
Practice Address - Street 2:SUITE 180
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1682
Practice Address - Country:US
Practice Address - Phone:405-840-8900
Practice Address - Fax:405-840-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK489524255Medicare ID - Type Unspecified
OKOKA102890Medicare PIN
OKT79997Medicare UPIN