Provider Demographics
NPI:1225829930
Name:TED OSLAY DC PC
Entity type:Organization
Organization Name:TED OSLAY DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:F
Authorized Official - Last Name:OSLAY
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:618-942-7376
Mailing Address - Street 1:700 N CARBON ST APT B
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-1004
Mailing Address - Country:US
Mailing Address - Phone:618-942-7376
Mailing Address - Fax:618-440-4991
Practice Address - Street 1:700 N CARBON ST APT B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-1004
Practice Address - Country:US
Practice Address - Phone:618-942-7376
Practice Address - Fax:618-440-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty