Healthcare Provider Details

I. General information

NPI: 1821160185
Provider Name (Legal Business Name): DEANN UREVICK OHLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 EL CAMINO REAL SUITE 110
PALO ALTO CA
94306-1714
US

IV. Provider business mailing address

2470 EL CAMINO REAL SUITE 110
PALO ALTO CA
94306-1714
US

V. Phone/Fax

Practice location:
  • Phone: 650-857-1221
  • Fax: 650-856-6996
Mailing address:
  • Phone: 650-857-1221
  • Fax: 650-856-6996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number25774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: