Countryside Wellness Llc

LBN: Countryside Wellness Llc
Countryside Wellness Llc is an health care organization with primary practice located at 5 Plaza South St , Tahlequah OK 74464-4750. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Countryside Wellness Llc can be contacted via phone (918) 708-2563, or through Callaway, Kelly J via phone (918) 708-2563.

Contact Information

Primary practice address
5 Plaza South St Tahlequah OK 74464-4750
Phone: (918) 708-2563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Callaway, Kelly J Doctor of Chiropractic (DC)
Phone: (918) 708-2563

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1205142700
LBN Legal business name Countryside Wellness Llc
DBA Doing business as
Authorized official Callaway, Kelly J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2010
Last updated May 23rd, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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