Provider Demographics
NPI:1194821322
Name:POSADA, OSCAR (DC)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:POSADA
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 1:6051 CONSTITUTION BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-1613
Mailing Address - Country:US
Mailing Address - Phone:269-270-3501
Mailing Address - Fax:269-270-3502
Practice Address - Street 1:6051 CONSTITUTION BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-1613
Practice Address - Country:US
Practice Address - Phone:269-270-3501
Practice Address - Fax:269-270-3502
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor