Provider Demographics
NPI:1295773935
Name:OSLAK, ANNAMARIE E (DC)
Entity type:Individual
Prefix:DR
First Name:ANNAMARIE
Middle Name:E
Last Name:OSLAK
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 1:3415 W CHESTER PIKE
Mailing Address - Street 2:STE. 101
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4279
Mailing Address - Country:US
Mailing Address - Phone:610-355-2499
Mailing Address - Fax:
Practice Address - Street 1:3415 W CHESTER PIKE
Practice Address - Street 2:STE. 101
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4279
Practice Address - Country:US
Practice Address - Phone:610-355-2499
Practice Address - Fax:610-355-7674
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008703111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7226476OtherAETNA
PA1370712OtherBLUE SHIELD
PA2062497000OtherINDEPENDENCE BLUE CROSS