Provider Demographics
NPI:1053615617
Name:SNODGRASS FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:SNODGRASS FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-321-3377
Mailing Address - Street 1:2520 MCGEE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6703
Mailing Address - Country:US
Mailing Address - Phone:405-321-3777
Mailing Address - Fax:405-321-3353
Practice Address - Street 1:2520 MCGEE DR STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6703
Practice Address - Country:US
Practice Address - Phone:405-321-3777
Practice Address - Fax:405-321-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4003261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center