Provider Demographics
NPI:1629550389
Name:ALMBERG, OAKLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:OAKLEY
Middle Name:
Last Name:ALMBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 24TH ST APT 120
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2114
Mailing Address - Country:US
Mailing Address - Phone:775-296-1400
Mailing Address - Fax:
Practice Address - Street 1:1415 PARK AVE W
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2103
Practice Address - Country:US
Practice Address - Phone:775-296-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007582111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82-3363044OtherIRS