Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH11563 | FL |
N | 111NN1001X | Nutrition | CH11563 | FL |
NPI | 1336254069 |
---|---|
Provider Name | Dr. Steven Henry Oberle |
First Address | Hurlburt Field, FL 32544-5613 |
Second Address | Hurlburt Field, FL 32544-5613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 05/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004196251 | (05) | CT |
050001330CT01 | ANTHEM BC AND BS (01) | |
061554676 | UNITED (01) | |
11114960 | MULTIPLAN (01) | |
133000 | CONNECTICARE (01) | |
1793417002 | CIGNA (01) | |
2V5763 | HEALTHNET (01) | |
3523026 | AETNA (01) | |
7082345 | AETNA NON HMO (01) | |
P2106201 | OXFORD (01) | |
U75530 | (02) |