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TERA EGLESTON CHIROPRACTIC CLINIC PC NPI 1508965252


NPI Information

NPI: 1508965252
Provider Name: TERA EGLESTON CHIROPRACTIC CLINIC PC

Former Legal Business Name: TERA M EGLESTON DC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9100 N GARNETT RD
SUITE I
OWASSO, OK
ZIP 74055
Phone: (918) 274-2911
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TERA EGLESTON CHIROPRACTIC CLINIC PC is a chiropractor in Owasso, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TERA EGLESTON CHIROPRACTIC CLINIC PC NPI is 1508965252. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tera M Egleston Dc.

The provider's business location address is:

9100 N GARNETT RD
SUITE I
OWASSO, OK
ZIP 74055
Phone: (918) 274-2911
Fax: (918) 274-2911

The provider's authorized official is Tera Marchelle Egleston .
The authorized official title is Doctor Owner and has the following contact phone number (918) 274-2911.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3469OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1446821654002OTHEROKLAHOMABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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