Provider Demographics
NPI:1215809686
Name:OLIVER CHIROPRACTIC CARE INCORPORATED
Entity type:Organization
Organization Name:OLIVER CHIROPRACTIC CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINIC CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-863-3551
Mailing Address - Street 1:9131 FARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-3502
Mailing Address - Country:US
Mailing Address - Phone:530-863-3551
Mailing Address - Fax:
Practice Address - Street 1:8788 ELK GROVE BLVD BLDG 3
Practice Address - Street 2:SUITE 19
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1766
Practice Address - Country:US
Practice Address - Phone:530-863-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty