MEDICARE: DR. CARL WILLIAM OHARA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC002631-L	PA
2	111NR0400X	Rehabilitation Chiropractor	PT002631-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1037119	OTHER	PA	AMERICANSPECIALITYHEALTHN
2	2476401	OTHER	PA	AETNA
3	439862	OTHER	PA	BLUECROSS
4	440356	OTHER	PA	FIRSTPRIORITYHEALTH
5	70319	OTHER	PA	GEISINGERHEALTHPLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023174158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL WILLIAM OHARA D.C.

Provider Business Mailing Address
First Line	:	622 MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	PA
Zip	:	18421-1481
Country	:	US
Telephone Number	:	570-586-8525
Fax Number	:	570-586-8889

Provider Business Practice Location Address
First Line	:	622 MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	PA
Zip	:	18421-1481
Country	:	US
Telephone Number	:	570-586-8525
Fax Number	:	570-586-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	09/11/2025

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