Provider Demographics
NPI:1306029269
Name:OLREE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:OLREE CHIROPRACTIC INC
Other - Org Name:OLREE CHIROPRACTIC INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:OLREE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:989-742-4242
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:HILLMAN
Mailing Address - State:MI
Mailing Address - Zip Code:49746-0550
Mailing Address - Country:US
Mailing Address - Phone:989-742-4242
Mailing Address - Fax:989-742-4222
Practice Address - Street 1:311 N STATE ST
Practice Address - Street 2:
Practice Address - City:HILLMAN
Practice Address - State:MI
Practice Address - Zip Code:49746-8259
Practice Address - Country:US
Practice Address - Phone:989-742-4242
Practice Address - Fax:989-742-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004384111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty