| Jake Landreth, Dc, Inc | |
|
108 N. Broadway, Skiatook, OK 74070 | |
| (918) 396-2848 | |
| (318) 553-8802 |
| Full Name | Jake Landreth, Dc, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 108 N. Broadway, Skiatook, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578950952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4002 (Oklahoma) | Primary |
| Provider Name | Jake Wesley Landreth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902106768 PECOS PAC ID: 8820258817 Enrollment ID: I20120329000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Landreth, Dc, Inc Po Box 877, Skiatook, OK 74070-0877 Ph: (918) 396-2848 | Jake Landreth, Dc, Inc 108 N. Broadway, Skiatook, OK 74070 Ph: (918) 396-2848 |
Dr. Christina Marie Graddy, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1529 W Rogers Blvd, Skiatook, OK 74070 Phone: 918-396-4433 Fax: 918-396-0075 | |
Dr. Robert Lee Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 203 S Hominy Ave, Skiatook, OK 74070 Phone: 918-396-9000 Fax: 918-396-0119 | |
Declue Medical, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 208 Bulldog Blvd, Skiatook, OK 74070 Phone: 918-396-3777 Fax: 918-396-3066 | |
Lakeside Chiropractic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 1529 W Rogers Blvd Ste C, Skiatook, OK 74070 Phone: 918-396-4433 Fax: 918-396-0075 | |
Dr. Elizabeth Ann Goodman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1529 W Rogers Blvd Ste C, Ste C, Skiatook, OK 74070 Phone: 918-396-4433 Fax: 918-396-0075 | |
Dr. Thomas E Declue, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 208 Bulldog Blvd, Skiatook, OK 74070 Phone: 918-396-3777 Fax: 918-396-3066 |