DR. CALVIN LEE NELSON JR. (NPI# 1679695712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679695712 |
| Entity Type | Individual |
| Full Name | DR. CALVIN LEE NELSON JR. |
| Credential | D.C. |
| Practice Address |
1117 N Milt Phillips Ave Seminole OK 74868-2321 |
| Mailing Address |
Po Box 1301 Seminole OK 74818-1301 |
| Practice Telephone | 4053823635 |
| Practice Fax Number | 4053821037 |
| Mailing Telephone | 4053823635 |
| Mailing Fax Number | 4053821037 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3428 | OK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD | 731539588001 | 01 |
| Street Address |
1117 N MILT PHILLIPS AVE |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532645 | Oklahoma Family Dentistry-seminole | Dentist | 1117 N Milt Phillips Ave, Seminole, OK 74868-2321 | 2015-07-07 |
| 1558554121 | Nelson Family Chiropractic Center | Chiropractor | 1117 N Milt Phillips Ave, Seminole, OK 74868-2321 | 2007-08-27 |
| 1831316637 | Michelle Rena Nelson | Chiropractor | 1117 N Milt Phillips Ave, Seminole, OK 74868-2321 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| Find all providers in zip 74868 | ||||
| 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 |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1114412962 | Seminole Care & Rehab Center, Inc. | Chiropractor | 10875 Park Blvd Ste B1, Seminole, FL 33772-5456 | 2018-06-25 |
| 1720512734 | Achieve Health & Chiropractic LLC | Chiropractor | 9968 Indian Key Trl, Seminole, FL 33776-1074 | 2017-04-17 |
| 1346692522 | Carie Cutting | Chiropractor | 11881 106th Ct, Seminole, FL 33778-3645 | 2016-07-12 |
| 1750618245 | Integrative Chiropractic Fusion | Chiropractor | 9564 118th Ln, Seminole, FL 33772-2705 | 2009-11-04 |
| 1093979247 | Ruth E. Bradley | Chiropractor | 13022 Hibiscus Ave, Seminole, FL 33776-4315 | 2008-07-16 |
| 1588705586 | Joseph S Maddox Jr. | Chiropractor | 8760 Seminole Blvd, Seminole, FL 33772-3810 | 2007-02-11 |
| 1740341494 | Sean Sharp | Chiropractor | 9011 Park Blvd Ste 209, Seminole, FL 33777-4123 | 2006-12-13 |
| 1568537850 | Dr C H Lacoste Pa | Chiropractor | 11206 Park Blvd, Seminole, FL 33772-4752 | 2006-11-21 |
| 1952476772 | Derek Riddick Moore | Chiropractor | 8996 Seminole Blvd, Seminole, FL 33772-3850 | 2006-11-21 |
| Find all providers in SEMINOLE | ||||
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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.