Individual
MARK W OAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
797 PARK AVE, MEADVILLE, PA 16335-2563
(814) 724-3239
(814) 724-1110
Mailing address
797 PARK AVE, MEADVILLE, PA 16335-2563
(814) 724-3239
(814) 724-1110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133933000
KEYSTONE HEALTHPLAN EAST
PA
01
—
OA1450542
PERSONAL CHOICE
PA
01
—
OA602762
HIGHMARK BC/BS
PA
Enumeration date
07/24/2006
Last updated
10/29/2024
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