Provider Demographics
NPI:1376174409
Name:OPTIMAL HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:OPTIMAL HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:OBERHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-806-6176
Mailing Address - Street 1:10251 W 87TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4675
Mailing Address - Country:US
Mailing Address - Phone:913-839-6422
Mailing Address - Fax:913-839-6422
Practice Address - Street 1:10251 W 87TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4675
Practice Address - Country:US
Practice Address - Phone:913-839-6422
Practice Address - Fax:913-839-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty