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Green Country Spine & Sport, Pllc
Chiropractor in Vinita, Oklahoma
NPI 1942586706

Green Country Spine & Sport, Pllc is a Chiropractor based in Vinita, OK. Green Country Spine & Sport, Pllc practices in Vinita, OK. The NPI Number for Green Country Spine & Sport, Pllc is 1942586706 and holds a License No. 4016 (Oklahoma).

The current practice location address for Green Country Spine & Sport, Pllc is 803 N Foreman St, Vinita, OK and can be reached out via phone at 918-256-5111 and via fax at 918-256-5222.

Location: 803 N Foreman St, Vinita, OK, 74301-0248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942586706
Provider Name
Green Country Spine & Sport, Pllc
Credential
Provider Entity Type
Organization
Address
803 N Foreman St, Vinita, OK, 74301-0248
Phone Number
918-256-5111
Fax Number
918-256-5222
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200449820A 05 OK
OKAAA2678 01 OK MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
803 N Foreman St
City
Vinita
State
Oklahoma
Zip
74301-1435
Phone Number
918-256-5111
Fax Number
918-256-5222
person
Provider Business Mailing Address Details
Address
803 N Foreman St
City
Vinita
State
Oklahoma
Zip
74301-1435
Phone Number
918-256-5111
Fax Number
918-256-5222
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4016 (Oklahoma)
Definition
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.
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