MEDICARE: DR. RICHARD NEAL OLREE JR. 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	2301004384	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950F05000	OTHER	MI	BCBS OF MICHIGAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659379808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD NEAL OLREE JR. D.C.

Provider Business Mailing Address
First Line	:	PO BOX 550
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0550
Country	:	US
Telephone Number	:	989-742-4242
Fax Number	:	989-742-4222

Provider Business Practice Location Address
First Line	:	311 STATE STREET
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746
Country	:	US
Telephone Number	:	989-742-4242
Fax Number	:	989-742-4222

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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