Healthcare Provider Details

I. General information

NPI: 1023174158
Provider Name (Legal Business Name): CARL WILLIAM OHARA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 MAIN ST
FOREST CITY PA
18421-1481
US

IV. Provider business mailing address

622 MAIN ST
FOREST CITY PA
18421-1481
US

V. Phone/Fax

Practice location:
  • Phone: 570-586-8525
  • Fax: 570-586-8889
Mailing address:
  • Phone: 570-586-8525
  • Fax: 570-586-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC002631-L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberPT002631-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: