Provider Demographics
NPI:1467796201
Name:OPPEL, JOHN CHANCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHANCE
Last Name:OPPEL
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 1:3603 SOUTHRIDGE DR
Mailing Address - Street 2:#2016
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7739
Mailing Address - Country:US
Mailing Address - Phone:214-668-4319
Mailing Address - Fax:
Practice Address - Street 1:3603 SOUTHRIDGE DR
Practice Address - Street 2:#2016
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7739
Practice Address - Country:US
Practice Address - Phone:214-668-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-17
Last Update Date:2012-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor