| Dr Eddie J Black, DC | |
|
510 N Broadway St, Cleveland, OK 74020-2206 | |
| (918) 358-3509 | |
| (918) 358-3026 |
| Full Name | Dr Eddie J Black |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Neurology |
| Location | 510 N Broadway St, Cleveland, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639293087 | NPI | - | NPPES |
| 1611 | Other | OK | TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | 1611 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eddie J Black, DC 510 N Broadway St, Cleveland, OK 74020-2206 Ph: (918) 358-3509 | Dr Eddie J Black, DC 510 N Broadway St, Cleveland, OK 74020-2206 Ph: (918) 358-3509 |
Cleveland Chiropractic Clinic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 312 S Broadway Street, Cleveland, OK 74020 Phone: 918-358-3376 Fax: 918-358-3376 | |
Sampson J Blythe Iii, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 312 S Broadway, Cleveland, OK 74020 Phone: 918-358-3376 Fax: 918-358-3376 | |
Black's Chiropractic Clinic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 510 N Broadway St, Cleveland, OK 74020 Phone: 918-358-3509 Fax: 918-358-3026 |