Provider Demographics
NPI:1487734786
Name:ABELS CHIROPRACTIC CENTRE
Entity type:Organization
Organization Name:ABELS CHIROPRACTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ABELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-456-0801
Mailing Address - Street 1:215 N WATER AVE
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-2825
Mailing Address - Country:US
Mailing Address - Phone:918-456-0801
Mailing Address - Fax:918-456-6222
Practice Address - Street 1:215 N WATER AVE
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-2825
Practice Address - Country:US
Practice Address - Phone:918-456-0801
Practice Address - Fax:918-456-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3802OtherSTATE LICENSE
OK1316042864OtherNPI
OK1682OtherSTATE LICENSE
OK1194754945OtherNPI
OK1316042864OtherNPI
OK3802OtherSTATE LICENSE