Provider Demographics
NPI:1083744528
Name:OLENIK, JOHN B (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:OLENIK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9425 OLDE EIGHT RD
Mailing Address - Street 2:#1 ALL HEALTH CHIROPRACTIC INC
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067
Mailing Address - Country:US
Mailing Address - Phone:330-468-2555
Mailing Address - Fax:330-468-5225
Practice Address - Street 1:9425 OLDE EIGHT RD
Practice Address - Street 2:#1 ALL HEALTH CHIROPRACTIC INC
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067
Practice Address - Country:US
Practice Address - Phone:330-468-2555
Practice Address - Fax:330-468-5225
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2002111N00000X
AZ5192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0L0749502Medicare ID - Type Unspecified
U45156Medicare UPIN