Provider Demographics
NPI:1538568464
Name:GERMANY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:GERMANY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GERMANY II
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:580-920-5234
Mailing Address - Street 1:116 S 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-4938
Mailing Address - Country:US
Mailing Address - Phone:580-380-4960
Mailing Address - Fax:580-380-4958
Practice Address - Street 1:116 S 21ST AVE
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-4938
Practice Address - Country:US
Practice Address - Phone:580-380-4960
Practice Address - Fax:580-380-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty