Provider Demographics
NPI:1861538043
Name:OAKES CHIROPRACTIC
Entity type:Organization
Organization Name:OAKES CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-724-3239
Mailing Address - Street 1:797 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2563
Mailing Address - Country:US
Mailing Address - Phone:814-724-3239
Mailing Address - Fax:814-724-1110
Practice Address - Street 1:797 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2563
Practice Address - Country:US
Practice Address - Phone:814-724-3239
Practice Address - Fax:814-724-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty