Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4174 | OK |
NPI | 1003213562 |
---|---|
Provider Name | Dr. Caleb Spreiter |
First Address | Claremore, OK 74019-2468 |
Second Address | Claremore, OK 74019-2468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2014 |
Last Update Date | 28/11/2014 |