DR. JOHN BRADLEY EITZEN (NPI# 1215026273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215026273 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRADLEY EITZEN |
| Credential | D.C. |
| Practice Address |
523 S Independence St Enid OK 73701-5631 |
| Mailing Address |
123 W Broadway Fairview OK 73737-2009 |
| Practice Telephone | 5802375007 |
| Practice Fax Number | 5802346851 |
| Mailing Telephone | 5802274200 |
| Mailing Fax Number | 5802346851 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3805 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659600401 | John Burke Eitzen | Social Worker | 156 Chartier, #2, Marine City, MI 48039-2344 | 2009-12-08 |
| 1124218698 | John Pointer Eitzen | Ophthalmology | 806 S Maple St, North Platte, NE 69101-5282 | 2007-07-30 |
| Street Address |
523 S INDEPENDENCE ST |
| City | ENID |
| State | OK |
| Zip Code | 73701-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902942048 | Eitzen Chiropractic Pllc | Clinic/Center | 523 S Independence St, Enid, OK 73701-5631 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518495084 | John Conaway | Chiropractor | 2510 W Chestnut Ave Ste F, Enid, OK 73703-3902 | 2017-05-30 |
| 1245650589 | Miranov Chiropractic | Chiropractor | 109 E Broadway Ave, Enid, OK 73701-4117 | 2014-04-25 |
| 1376811091 | R A Chiropractic Services Inc | Chiropractor | 128 N Oakwood Rd, Enid, OK 73703-4946 | 2011-12-08 |
| 1932335197 | Kd Chiropractic | Chiropractor | 802 W Purdue Ave, Enid, OK 73701-1852 | 2009-06-02 |
| 1952559106 | Lisa M Harrigan | Chiropractor | 117 N Grand St, Enid, OK 73701-4121 | 2008-08-29 |
| 1073793535 | Dr. Philip . Reed, Dc | Chiropractor | 721 S Oakwood Rd, Ste A, Enid, OK 73703-6247 | 2007-11-13 |
| 1073706024 | Mcgowan Chiroparactic Clinic, Inc. | Chiropractor | 102 W Randolph Ave, Enid, OK 73701-4005 | 2007-08-23 |
| 1932274131 | Matt B Postrach | Chiropractor | 802 W Maine Ave, Ste B, Enid, OK 73701-5429 | 2006-11-22 |
| 1013089523 | Anderson Chiropractic PC | Chiropractor | 128 North Oakwood Road, Enid, OK 73703 | 2006-11-14 |
| 1154432417 | Philip Reed | Chiropractor | 705 S Oakwood Rd, Suite A7, Enid, OK 73703-6200 | 2006-08-31 |
| Find all providers in ENID | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.