Provider Demographics
NPI:1699081596
Name:CHAMBERS, TREY W (DC)
Entity type:Individual
Prefix:
First Name:TREY
Middle Name:W
Last Name:CHAMBERS
Suffix:
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 1:7007 NW CACHE RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-2707
Mailing Address - Country:US
Mailing Address - Phone:580-536-4844
Mailing Address - Fax:580-536-4890
Practice Address - Street 1:7007 NW CACHE RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-2707
Practice Address - Country:US
Practice Address - Phone:580-536-4844
Practice Address - Fax:580-536-4890
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor