Healthcare Provider Details

I. General information

NPI: 1598417594
Provider Name (Legal Business Name): OHANA CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 MAIN ST
OSHKOSH NE
69154-6112
US

IV. Provider business mailing address

PO BOX 43
OSHKOSH NE
69154-0043
US

V. Phone/Fax

Practice location:
  • Phone: 308-244-1872
  • Fax:
Mailing address:
  • Phone: 308-244-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MILISA RAINE BARNES
Title or Position: PARTNER/OPERATOR
Credential: DC
Phone: 308-991-9257