Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC002631-L | PA |
N | 111NR0400X | Rehabilitation Chiropractor | PT002631-L | PA |
NPI | 1023174158 |
---|---|
Provider Name | Dr. Carl William Ohara |
First Address | Forest City, PA 18421-1481 |
Second Address | Forest City, PA 18421-1481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009403000002 | (05) | PA |
1037119 | AMERICANSPECIALITYHEALTHN (01) | PA |
2476401 | AETNA (01) | PA |
439862 | BLUECROSS (01) | PA |
440356 | FIRSTPRIORITYHEALTH (01) | PA |
70319 | GEISINGERHEALTHPLAN (01) | PA |