Individual
DERREK SHANE OAKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17487 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-4018
(225) 677-7777
(225) 677-7778
Mailing address
PO BOX 1708, PRAIRIEVILLE, LA 70769-1708
(225) 677-7777
(225) 677-7778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1118
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0756
BLUE CROSS BLUE SHIELD
LA
Enumeration date
12/19/2005
Last updated
07/08/2007
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