Healthcare Provider Details

I. General information

NPI: 1659379808
Provider Name (Legal Business Name): RICHARD NEAL OLREE JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 STATE STREET
HILLMAN MI
49746
US

IV. Provider business mailing address

PO BOX 550
HILLMAN MI
49746-0550
US

V. Phone/Fax

Practice location:
  • Phone: 989-742-4242
  • Fax: 989-742-4222
Mailing address:
  • Phone: 989-742-4242
  • Fax: 989-742-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301004384
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: