Organization
OLIVER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W OLIVER CHIROPRACTIC (OWNER)
(785) 242-8688
Entity
Organization
Contact information
Practice address
602 S MAPLE ST, OTTAWA, KS 66067-2730
(785) 242-8688
Mailing address
602 S MAPLE ST, OTTAWA, KS 66067-2730
(785) 242-8688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062166
BCBS
KS
01
—
230692
COVENTRY
KS
01
—
628300
ACN
KS
01
—
7639372
AETNA
KS
Enumeration date
03/17/2006
Last updated
09/01/2010
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