Provider Demographics
NPI:1174553671
Name:GARLETT, JOSEPH FREDRICK JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FREDRICK
Last Name:GARLETT
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4141 NW EXPRESSWAY ST
Mailing Address - Street 2:STE 385
Mailing Address - City:OKLAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1675
Mailing Address - Country:US
Mailing Address - Phone:405-840-8300
Mailing Address - Fax:405-840-8326
Practice Address - Street 1:4141 NW EXPWY ST
Practice Address - Street 2:SUITE 385
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1682
Practice Address - Country:US
Practice Address - Phone:405-840-8300
Practice Address - Fax:405-840-8326
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731485700001OtherBCBS
U06416Medicare UPIN
OKOKA103006Medicare PIN