MEDICARE: DR. ANNAMARIE E. OSLAK 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	DC008703	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7226476	OTHER	PA	AETNA
2	1370712	OTHER	PA	BLUE SHIELD
3	2062497000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1295773935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNAMARIE E. OSLAK D.C.

Provider Business Mailing Address
First Line	:	3415 W CHESTER PIKE
Second Line	:	STE. 101
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4279
Country	:	US
Telephone Number	:	610-355-2499
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 W CHESTER PIKE
Second Line	:	STE. 101
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4279
Country	:	US
Telephone Number	:	610-355-2499
Fax Number	:	610-355-7674

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	01/23/2025

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