Organization
BLUE OAK CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ROBERT FALKE D.C. (CEO)
(916) 984-6555
Entity
Organization
Contact information
Practice address
2260 E BIDWELL ST STE 108, FOLSOM, CA 95630-3463
(916) 984-6555
(916) 984-6777
Mailing address
2260 E BIDWELL ST STE 108, FOLSOM, CA 95630-3463
(916) 984-6555
(916) 984-6777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG895A
MEDICARE PTAN
CA
Enumeration date
02/22/2012
Last updated
02/22/2012
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