Healthcare Provider Details

I. General information

NPI: 1669173902
Provider Name (Legal Business Name): OKANE CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2386 LEE HWY
BRISTOL VA
24201-1656
US

IV. Provider business mailing address

2386 LEE HWY
BRISTOL VA
24201-1656
US

V. Phone/Fax

Practice location:
  • Phone: 276-466-2273
  • Fax: 276-466-2214
Mailing address:
  • Phone: 276-466-2273
  • Fax: 276-466-2214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAMANTHA O'KANE
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 276-608-2057