Provider Demographics
NPI:1285662437
Name:WHEELER, DON C III (DC)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:C
Last Name:WHEELER
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 RIDGEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-4726
Mailing Address - Country:US
Mailing Address - Phone:918-283-1272
Mailing Address - Fax:
Practice Address - Street 1:2303 RIDGEVIEW LN
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-4726
Practice Address - Country:US
Practice Address - Phone:918-283-1272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor