Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC001665L | PA |
N | 111NR0400X | Rehabilitation Chiropractor | DC001665L | PA |
NPI | 1184847915 |
---|---|
Provider Name | Dr. Andrew Joseph Oslosky JR. |
First Address | Ligonier, PA 15658 |
Second Address | Johnstown, PA 15904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |