Provider Demographics
NPI:1497809974
Name:OAKLEY, JOSHUA NEAL (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NEAL
Last Name:OAKLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSHUA
Other - Middle Name:N
Other - Last Name:OAKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1830 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373
Mailing Address - Country:US
Mailing Address - Phone:937-339-5433
Mailing Address - Fax:937-339-6881
Practice Address - Street 1:1830 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373
Practice Address - Country:US
Practice Address - Phone:937-339-5433
Practice Address - Fax:937-339-6881
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2332256Medicaid
OH2332256Medicaid